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16-104321
k 4 Elegtrical City of FederalWay Permit #: 16-104321-00-E L Community&Econ. Dev.Services 33325 8th Ave S Federal Way,ax98003 Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 : Project Name: KOSNOSKI EYE Project Address: 2314 SW 336TH ST Parcel Number: 132103 9097 Project Description: Run low voltage wire and install(1)t-stat Owner Applicant Contractor GOLD INVESTMENT L L C BRYAN GALVIN UNIVERSAL REFRIGERATION INC 33615 7TH PL SW UNIVERSAL REFRIGERATION (ELECTRICAL) FEDERAL WAY WA 98023 4102 B PL NW UNIVERI000BO(1/20/18) AUBURN WA 98001 PO BOX 614 AUBURN WA 98071-0614 V Additional Permit Information Electrical Work Valuation? .250 Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Low Voltage-Other(Commercial; 1 Thermostat. I PERMIT EXPIRES Thursday, August 31, 2017 Permit Issued on Wednesday, August 31, 2016 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 th�: of Federal Way. Owner or agent: ., Date: (F.--/3i//� S 4ACITY PP THIS CARD IS TO REMAIN ON-SITE Federal Way Construction Inspection Record INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-104321-00-EL Address: 2314 SW 336TH ST Project: GOLD INVESTMENT L L C FEDERAL WAY, WA 98023 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. O LIFER Ground(4295) CI Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) E Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date . o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By 04 Date 4112,111„ By Date • El Final-Electrical(4055) Approved By 034.1.0 Date i —141—L b , E Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED AUG 3 1 2016 ELECTRICAL CITY OF Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION PERMIT NUMBER 1 - / 0 43 ! 1 - 1--- SUITE/UNIT/SPACE SUITE/UNIT/SPACE# SITE ADDRESS: 23 I LI 5.k1 c- 36�6 /'l --..- PROJECT VALUATION ASSESSOR'S TAX/PARCEL 3 � CURRENT/PROPOSED USE ) $ 0l 0 q .T PROJECT NAME (Tenant(Tenant or Homeowner Last Name) i fr 05 I' 'e- e_— Rvi ' 0 (7z a• - /S ' / 1 4' o PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME / [ PRIMARY PHONE PROPERTY OWNER (�[ GIG /,1ve-5A� e- t7 ( ) - MAZI. 0 ADDRESS E-MAIL CIT/40,4„/ wli' 'vim 1 ZIP ©G—, ( ) FAX - NAME - d PRIMARY PHONE G1frWe. Q/lS 's"gev�a oK (2f3) 93 -Spy MAILING ADDRESS / ELECTRICAL Po.re9c 6Iy b7Q j '4 w1 ver (re f siv.cow CONTRACTOR CITY STATE ZIP `,l F .../rffer,�rrrPi 49807(-06,n/ (2S-7) - ,L( 2 WA STATE CONTRACTOR'S LIC E N EXPIRATION DATE FEDERAL WA BUSINESS LICENSE 41 (!N/j/ i 0f `' O O/ /Zo / /£3 1q 56'—.6 0.1714 NAME PRIMARY PHONE APPLICANT ,04-1,1-1g.- c I o d2_ ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) - NA Mi w PRIMARY PHONE PROJECT CONTACTxa,v( �� /v/� ( ) 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 application. N. SIGNATU �!j// �_ // DATE / PRINT NAME: \./- , rt /elP�j c-A/aLgikf 1 Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application