15-103821 s
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Electrical
City of Federal D Way Permit 11'. 15-103821-00-EL
Community&EconDev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
IIII
53)835-3050
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: ADDING(3)DEDICATED CIRCUITS TO THE DELI DEPARTMENT.INCLUDE THE
REMOVAL,RELOCATION&INSTALLATION OF MISCELLANEOUS ELECTRICAL
SYSTEMS PERTAINING TO THE AFOREMENTIONED SCOPE OF WORK.
Owner Applicant Contractor
FRED MEYER INC JENI SEVERSON SEA-TAC ELECTRIC INC
PO BOX 42121 SEA-TAC ELECTRIC INC SEATAEI077RW(12/17/15)
PORTLAND OR 97242 7056 S 220TH ST 7056 S 220TH ST
KENT WA 98023 KENT WA 98032
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No '
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial. 3
PERMIT EXPIRES Saturday, January 30, 2016
Permit Issued on Monday,August 3, 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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: IJ L' Ij E Date:
to:Egli:1°1 )
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0 THIS CARD IS TO ON-SITE - ::,�rryoF. Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-103821-00-EL Address: 33702 21ST AVE SW
Project: FRED MEYER INC FEDERAL WAY, WA 98023-7762
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.
O 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) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/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
...B c Date G_'0._ S +
Rough Electrical ® Final Electrical Right of WayApproved Approved Approved
By Date By Date By Date