15-103714 III • iectrical
City of Federal Way
Community&Econ.Dev.ServicesF ii ILE
Permit #: 15-103714-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
4
Project Name: MOEN
Project Address: 31425 21ST AVE SW Parcel Number: 122103 9057
Project Description: 200 AMP Panel Upgrade
`
Owner Applicant Contractor
DENNIS E MOEN DENNIS E MOEN OWNER IS CONTRACTOR
31425 21ST AVE SW 31425 21ST AVE SW
FEDERAL WAY WA 98023-7834 FEDERAL WAY WA 98023-7834
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Tuesday, January 26, 2016
Permit Issued on Thursday, July 30, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordan with the laws, rules and regulations of the State of Washington
.„JLe the City of Federal Way.
Owner or agent: 7 Date: S' /.
ONLINE
4 AI44. ii,,,zo
. - 'THIS CARD IS TO IN ON-SITE , ., �,
"Tr6F O - • Construction In J ection Record `
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-103714-00-EL Address: 31425 21ST AVE SW
Project: DENNIS E MOEN FEDERAL WAY, WA 98023-7834
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. .
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Q_AttA— Date g_1 ,-1 ( r
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Fnal-Electrical(4055)
Approved
By l Date. 6----)(
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❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date