15-104595 Electrical
City of Federal ay -
Community&Econ.Dev.Services Permit #: 15-104595-00-EL
33325 8th Ave S
Federal Way,WA 98003 Line:tion Request
ns
Ph:(253)835-2607 Fax:(253)835-2609 Ip (253)835-3050
Project Name: HANCOCK
Project Address: 3815 SW 321ST ST Parcel Number: 873190 2450
Project Description: Low Voltage circuit for furnace replacement
Owner Applicant Contractor
DONNA J HANCOCK SUSAN DUNHAM BLACK HILLS INC(ELECTRICAL)
3815 SW 321ST ST BLACK HILLS INC BLACKHI919DL(3/15/17)
FEDERAL WAY WA 98023-2454 1003.85TH AVE SE UNIT A 1003 85TH AVE SE UNIT A
OLYMPIA WA 98501 OLYMPIA WA 98501-5706
Additional Permit information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1 Low Voltage-Other(Residential). 1
PERMIT EXPIRES Wednesday, March 9, 2016
Permit Issued on Friday, September 11, 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
1ne1c1f ral Way.
Owner or agent Date:
F
tt4pLED
-414 THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104595-00-EL 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.
Cl UFER Ground (4295) ❑ Ditch cover(4030) E Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) '0 Temporary Power(4275) 'El Service(4235)
Approved Approved Approved
By Date By Date By Date
.
0 Feeders/Sub-panels(4045) .CI Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By VMS Date ?I I 1 I-I ,
Amato. dot OM&, u :
'❑ Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.