17-100212 i r
Electrical
CommuWay
F I L Permit #:17-100212-O0-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: HANCOCK
Project Address: 3815 SW 321ST ST Parcel Number:873190 2450
Project Description: Electrical wiring to replace gas furnace
Owner Applicant Contractor
DONNA J HANCOCK SUSAN DUNHAMBLACK HILLS INC BLACK HILLS INC(ELECTRICAL)
3815 SW 321ST ST 1003 85TH AVE SE UNIT A BLACKHI919DL(3/15/17)
FEDERAL WAY WA 98023-2454 OLYMPIA WA 98501
1003 85TH AVE SE UNIT A
OLYMPIA WA 98501-5706
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Low Voltage-Other(Resident 1
PERMIT EXPIRES Saturday, 13 January,2018
Permit Issued on Friday,January 13,2017
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
W shi on r h Federal Way.
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Owner or agent: ratDate:
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51-1,01-51‘? -09 - t ivwA.
THIS CARD IS TO REMAIN ON-SITE
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Frrr ederal Way Construction Inspection Record
c
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 10021200 Address: 3815 SW 321ST ST
Project: DONNA J HANCOCK FEDERAL WAY WA 98023-2454
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.
El UFER Ground(4295) `IQ Ditch cover(4030) ,: 8❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
„ `, ,
® Pool Bonding(4195) El Temporary Power(4275) 1 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 f By Date By Date
10 Final-Electrical(4055)
Approved
By nn Date 3 I 1 I (-7
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date