17-101376 Electrical
City of Federal Way Permit #:17-101376-00-EL
Community Development Dept.
33325 8th Ave S FILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: BUSIC
Project Address: 36505 1ST PL SW Parcel Number: 113960 0100
Project Description: Adding(1)circuit to install a/c unit and replace gas furnace
Owner Applicant Contractor
JOHN BUSIC SUSAN DUNHAMBLACK HILLS INC BLACK HILLS INC(ELECTRICAL)
36505 1ST PL SW 1003 85TH AVE SE UNIT A BLACKHI919DL(3/15/19)
FEDERAL WAY WA OLYMPIA WA 98501 1003 85TH AVE SE UNIT A
98023-7381
OLYMPIA WA 98501-5706
Additional Permit information
Is this an Online or O.T.C.application? Yes
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Circuits-Residential 1
PERMIT EXPIRES Wednesday,28 March,2018
Permit Issued on Tuesday,March 28,2017
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
Washington and the City of Federal Way.
Owner or agent: r\ILINIE Date:
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THIS CARD IS TO REMAIN ON-SITE
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Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101376 00 Address: 36505 1ST PL SW
Project: JULIE M BUSIC FEDERAL WAY WA 98023-7381
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.
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Approved Approved Approved to place concrete
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El Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
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Approved Approved Approved
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El Final-Electrical(4055)
Approved
By hys Date 411 ii 1
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date