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17-103248 s t Electrical City of Federal Way Permit #:17-103248-00-EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: MARLENE'S MARKET&DELI Project Address: 2565 S GATEWAY CENTER PL Parcel Number:092104 9137 Project Description: LED LIGHTING RETROFIT Owner Applicant Contractor A N S LLC MARSHALL JONESM JONES ELECTRIC M JONES ELECTRIC PO BOX 1941 27726 131ST CT SE MJONEJE90400(9/20/18) AUBURN WA 98071 KENT WA 98030-8869 27726 131ST CT SE KENT WA 65080 Additional Permit Information Is this an Online or O.T.C.application? Yes Circuits-Residential 20 PERMIT EXPIRES Saturday,7 July,2018 Permit Issued on Friday,July 7,2017 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 Washin n and the City of Federal Way. Owner or agent: Date: 7 17 THIS CARD IS TO REMAIN ON-SITE 4 � o Construction Inspection Record Federal Way INSPECTION REQUESTS :(253)835-3050 PERMIT#: 17 103248 00 Address: 2565 S GATEWAY CENTER PL Project: A N S LLC FEDERAL WAY WA 98003 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) E Ditch cover(4030) ® Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) 0Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date By Date By Date ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date • By Date By Date El Final-Electrical(4055) Approved By Date cl.9 lit.`‘1 • Ei Rough Electrical D Final Electrical .LI Right of Way Approved Approved Approved By Date By Date By Date C,TY RECEIVED ELECTRICAL Federal Way JUL 0 7 2017 PERMIT APpl4gi ION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT f PERMIT NUMBER _ I SITE ADDRESS: is Co 5 6 G IQ lW �/E � CLNTC I'� p ,,,COMMUNITY DEVELOPMENT PROJECT 3 S�UATION ASSESSOR'S TA7C/ 1 # ` 1- - 9 CURRENT/PROPOSED USE PROJECT NAMElrR LE Nk5� Y' 4 D - ( (Tenant or Homeowner Last Name) �n 1 FIR PROJECT DESCRIPTION 1-L t) L%(RT toy E1 hO Pa Detailed description of work to be included on this permit only NAME PHONE PROPERTY OWNER YY1 Pt R Lt_ 1 . - ,k R� _�i (2(96)5 K PRIMARY 152,4} MAILING ADDRESS E-MAIL-MAIL2.51 Etit2 5 s CATWs�Y cFL CITY STATE ZIP FAX FE'DeRA /` 1W wPr ggoo3 ( ) - NAME PRIMARY PHONE Irl. JoNIs ELEC1 ft c (25"i Slot- I7.3 3 MAILING ADDRESS E-MAIL ELECTRICAL 2./'7 210 L-31 cr 5C- CONTRACTOR crry 1/ sTA�E ZIP FAX ill WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# ,J© N E-J 6—q04 oo/ NAME /� PRIMARY PHONE APPLICANT i' )h-R$t"f ALL o�© J E ( go_c41- Jz 3 MAILING ADDRESS E-MAIL -2- 7720 13) Gr 6 CITY STATE FAX 1-1.5Nc uv 1Sv ( ) - NAME ..... PRIMARY PHONE PROJECT CONTACT VIII 1 1 C (206)9`O 7ci9 I certify under penalty of perjury that I am the property owner or authorised 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 ty as ••. oft lication. SIGNATURE: ,/� DATE 7 1 ` ! �j J PRINT NAME: 'm ,614 n s R LC., -J O 1416:- PERMIT CENTER♦33325 8th Avenue South +Federal Way,WA 98003-6325 253-835-2607 +FAX 253-835-2609+permitcenter(iicityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 lc\Handouts\Electrical Permit Application