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15-105878
.. ELECTRICAL CITY OF Federal Way PERMIT APPLICATION _ :. EIVED �5 _ / 0 5 8 7x _ c . PERMIT NUMBER- - — — NOV y 8 2015 >> CrntOr fE � FERRAIS 'AY SITE ADDRESS: ' e G c _- ..-3(,),-0_1 ,' CDS PROJECT VALUATION ASS SS1S TAX/PARC # (-> CURRENT/PROPOSED USE S -- rt7r-, ' ( 6 o _ 6 1 00 _.....,, PROJECT NAME (Tenant or Homeowner Last Name) ,'i r,Q,d (j A4//f/,1 �� L PROJECT DESCRIPTION , HOLT"-6- Detailed description of work to f,i / 14/7-I/ be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ( 6'-/;(,) &3 (9-- - i�C" ti /} J , ( ) - Iz<i Ci' vvi I�l "r Li 107.,......0 E-MAIL C t�,� �/ ,STAATTE� ZIP / FAX ew1Q 7� G�71- 14-f ( ) NAME PRIMARY PHONE &)c ,c 6-6-464---;6/6.-- /,jc, (:?o)`r i2 - 362-7 MAILING ADDRESS / �-y,� � E-MAIL ELECTRICAL S ��-=L- y -YID CONTRACTOR CITY AV nx1V 1TA ZII9 V C/_ 09 r 1 FAX v ( ) WA W STATE CONTRACTOR'S! (IC,r�VS - C c /RAS DATE__ FEDERAL WAY BUSINESS LICENSE# NAME // -•�7 "�\y , I-t `f o v L ( 11 PRIMARY PHONE APPLICANT MAILING ADDRESS ( ) E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT ( ) 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 such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the c'y as • •art of this application. SIGNATURE: , DATE ///il�-'77/' S'"- ' r PRINT NAME: Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application " `" • 0 Electrical City of Federal Way .{{.�� Community&Econ.Dev.Services Permit #: 15-105878-00-EL 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: RUSSIAN URANIAN PAROUSIA SDA CHURCH Project KAddress: 1860 S 336TH ST Parcel Number: 797820 0100 Project Description: Install low voltage for voice/data cabling.(Data/Pa/Catv) , Owner Applicant Contractor WESTERN WASHINGTON CONFERENCE WORF ELECTRIC WORF ELECTRIC OF SDA 3536 ACADEMY DR SE WORFEEI895C5(2/25/17) 32229 WEYERHAUSER WAY S AUBURN WA 98092 3536 ACADEMY DR SE FEDERAL WAY WA 98001 AUBURN WA 98092 Additional Permit Information Electrical Work Valuation? 3000.00 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No ElectricalFixtures Circuits-Commercial 25 Low Voltage-Other(Commercial 1 PERMIT EXPIRES Monday, May 16, 2016 Permit Issued on Wednesday, November 18, 2015 I hereby certify that the above inf•rmation is correct and that the construction on the above described property and the occupancy and the use wi a in accordance with the laws, rules and regulations of the State of Washington - d the City of Federal Way. Owner or agent: / _4`0.i..-4vDate: %./3/ 0 THIS CARD IS TO AIN ON-SITE _ CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 15-105878-00-EL Address: 1860 S 336TH ST Project: WESTERN WASHINGTON CONFEF FEDERAL WAY, WA 98003-8979 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) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date . . ♦ . . I© Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved 1 By Date By Date By Date ®Feeders/Sub-panels(4045) ElRough Electrical(4225) El Ceiling Cover(4020) ___, Approved Approved Approved By Date By Date , --93 By Date t ® Final-Electrical(4055) Approved By�:X1 Date J=c- 'f—Jia-----, t L Rough Electrical ❑ Final Electrical El Right of Way -' Approved Approved Approved By Date By Date By Date