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13-100776 • Elrctrkal � T City of Federal Way Community&Econ.Dev.Services Permit #: 13-100776-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p q Project Name: MITCHELL Project Address: 31734 8TH AVE S Parcel Number: 609400 0100 Project Description: Installing new meter mast,install 4 new receptacles and wire mold • Owner Applicant Contractor ROOSEVELT MITCHELL C&W ELECTRIC LLC C&W ELECTRIC LLC CAROLYN MITCHELL PO BOX 127 CWELEL*990CF(2/9/15) 31734 8TH AVE S EATONVILLE WA 98328 PO BOX 127 FEDERAL WAY WA 98003-5323 EATONVILLE WA 98328 Additional Permit Information Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No No Fixtures Associated With This Permit !! PERMIT EXPIRES Sunday, August 18, 2013 Permit Issued on Tuesday, February 19, 2013 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 accordance with the laws, rules and regulations of the State of Washington 7 nd the City of Federal Way. Owner or agent:;.. . Date: ~,� to 5 CITY OF "%,.... , Federal WayConstruction In ection Record INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-100776-00-EL Address: 31734 8TH AVE S Project: ROOSEVELT MITCHELL FEDERAL WAY, WA 98003-5323 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. ❑ Ditch cover(4030) El Service (4235) "0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical (4225) Ceiling Cover(4020) El Final-Electrical(4055) Approved Approved Approved By Date By Date y Date----,26---(:S ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CEIVE® b B 19 2013 EL CTRICAL CITY OF Federal WayCITY OF FcEDDsERAL WAX PERMIT APPLICATION PERMIT NUMBER ' _ r 0 0 -4- 7- l SUITE/UNIT/SPACE# SITE ADDRESS: "3 / 7 3 C/ f 't 4 A LI e S PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) C k 0/4, /"l /l ( T 1( 4 PROJECT DESCRIPTION / ' IC )(.1 L- (( ' � Y�-e 4 l'I pi f S `�/4','Detailed description of work to /A,,-f-f- (L <./ &i i; ec e ,F Cr c 4 F S A u.;;/-(c. n-01 J be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER C 4-i ' 7,� , < 1-c�� /( ( ) - MAILING ADDRESS E-MAIL ?( 2 y 1'41 iir a e'- 5' CITYSTATE ZIP FAX �P,C lea( 4.)a y /6,4- ( ) - NAME PRIMARY PHONE r ? Lu LE (e (-f2c C /-CC_ ( ) - MAILING ADDRESS E-MAIL ELECTRICAL P 0 r3 0 \( ( Z rl CONTRACTOR CITY STATE ZIP FAX r=,+-�©wLi(6e Go-' `7? s- ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# C U-)e. /16'/31-ci>U (-� f- -2,, / / /, ,.../ NAME PRIMARY PHONE APPLICANT ( ) MAILING ADDRESS E-MAIL / , CITY 0I,, STATE ZIP FAX �J� ( ) 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 city as a part of this applicat' n. /s SIGNATURE:. G _ a/ DATE -4' /7+ -�O 7-s' PRINT NAME: f . Q� /j//„�?C Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application