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15-105876 ..., ., _ • Electil ti cal r City of FederalWay Community&Econ.Dev.Services FILE 33325 8th Ave S Permit #: 15-105876-00-EL IFe835deral Way,wFax:A(253)8 9800335-2609 p ins ection Request Line: (253)835-3050 Ph:(253) -2607 Project Name: DIRKS Project Address: 30412 21ST AVE SW Parcel Number: 122103 9101 Project Description: Mast meter repair from windstorm damage Owner Applicant Contractor EDWIN DIRKES S&E ELECTRIC INC S&E ELECTRIC INC THELMA DIRKES 3904 S CENTER ST SEELEI*150QM(6/30/17) 30412 21ST AVE SW TACOMA WA 98409 3904 S CENTER ST FEDERAL WAY WA 98023-2306 TACOMA WA 98409 Additional Permit Information Electrical Work Valuation? 500.00 Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No Electrical Fixtures Mast or Meter Repair(Residential/ I PERMIT EXPIRES Monday, May 16, 2016 Permit Issued on Wednesday, November 18, 2015 I hereby certify that the above information is orrect and that the construction on the above described property and the occupancy and the use ,•I be in act ance with the laws, rules and regulations of the State of Washington d e City of Federal Way. / / (� Owner or agent: 1OPPr* 1��//%�/ Date: //// © jd-N f O Pt‘V *‘ \‘ I 0 THIS CARD IS TO REQ ON-SITE CITY OF '" • Construction InspeMon Record - Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-105876-00-EL Address: 30412 21ST AVE SW Project: EDWIN DIRKES FEDERAL WAY, WA 98023-2306 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. ❑ UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date Ifi—Neders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date , 0 Final-Electrical(4055) Approved By ISM Date ll ( t'I (1 c i Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date . E y CITY OF vh, LECTRICAL . Federal Way PERMIT APPkE-Wel9N PERMIT NUMBER 1 S 0 0 se 762 0O NOV 18 2015 CITY OF FEDERAL WAY SUITE/UNWLPACE# SITE ADDRESS: 3011 a z / "re- /4 U a S .. 6,0, PROJECT ASSESSOR'S TAX PARCi�# � � — ^ � � � CURRENT/PROPOSED USE PROJECT NAME D I `� 1 -''� l (Tenant or Homeowner Last Name) L 5 7 ?0<� 0/9"7,M6-€ b ?L C j7ZAL—_ PROJECT DESCRIPTION `4/9 -7-- Detailed description of work to be included on this permit only NAME / PRIMARY PHONE PROPERTY OWNER � D 1 lZ K c a' )22 33e6 MAILING ADDRESS E-MAIL S14-144E T4s 4-66 V _ CITY STATE ZIP FAX ) NAME PRIMARY PHONE sig ar-cZtcroc b2,55).07,2.5Y/ MAILING ADD S E-MAIL ELECTRICAL 2/ 0 4 CP/Lt7 S- 5 E td !6/Cty1 Q CONTRACTOR CITY STATE ZIP FAX 7.791- 711/4 SJ2 7 ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 5�`- �Z &F'_117 96/ 0(E) / / NAME'A_ L L / c_ t0� PRIMARY PHONE APPLICANT v An1A- S £`�—' `?).7 S / MAILING ADDRESS E-MAIL CITY 3 90f C&U77e S�(iocIvAL. FAX 774( � � (ZIP i� FJ9 ( ) - NAMEPRIMARY PHONE �,�" PROJECT CONTACT E CE*7-6- u E (0 ) 31/ 7 3 I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city, but only where suc aim • es out reliance of the city, including its officers and employees, upon the accuracy of the information supp -d to the city • a ••r this application. • ./�j/ lor, � L� // J Q iSIGNATU• DATE PRINT N � f-�S L_� L I� Bulletin#160—January 1,2013 Page 1 of 2 k:\I-Iandouts\Electrical Permit Application