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16-104242
Electrical City of Federal Way / (� Community&Econ.Dev.Services Permit ermit #: 16-104242-00-EL 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: KROGMAN Project Address: 1113 S 299ThROGMPL Parcel Number: 515160 0420 Project Description: Replace existing 100A panel with a 200A panel. , Owner Applicant Contractor TERESA KROGMAN STEVE FENTON FENTON ELECTRIC LLC JOHN KROGMAN FENTON ELECTRIC LLC FENTOEL882DR(3/19/18) 1113 S 299TH PL 414 ELDREDGE AVE NW 414 ELDREDGE AVE NW FEDERAL WAY WA 98003-3751 ORTING WA 98360 ORTING WA 98360 Additional Permit Information Electrical Work Valuation 2000 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Alt.Serv./Feeder:0 to 200 amps(F 1 PERMIT EXPIRES Saturday, August 26, 2017 Permit Issued on Friday,August 26, 2016 I hereby certify that the above information is correct and that the construction on the above described property and 4rthe occupancy and the use will be i ccordance with the laws, rules and regulations of the State of Washington an the City of Federal Way. Owner or agent: Date: ‘i?'""Z-40— ( ' CITY of A THIS CARD IS TO REMAIN ON-SITE FederalWayConstruction Inspection Record - INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-104242-00-EL Address: 1113 S 299TH PL Project: TERESA KROGMAN FEDERAL WAY, WA 98003-3751 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. CI LIFER Ground(4295) 0 Ditch cover(4030) "❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) - 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ' El Final-Electrical(4055) Approved By Qty Date GI, g- ,(5. E Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date �. IV ELECTRICAL CITY OF Federal Way AUG 2 6 2016 PERMIT APPLICATION CITY OF FEDERAL WAP` _ r © z _ E !- CDS PERMIT NUMBER i (40 SUITE/UNIT/SPACE# SITE ADDRESS: C't14- t��1 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 2-100C ,°° ,S 1 5 1 (0 0 - 0 q 2- a PROJECT NAME , (Tenant or Homeowner Last Name) `V 1/V`-i A U1 -e'1r v i LA- -L -L� PROJECT DESCRIPTION -inD 4- L - >-< Detailed description of work to be included on this permit only NAME `� PRIMARY PHONE PROPERTY OWNER v'�42-y 4.\f0 a!- (S0 )9t? -' 5 C' I III ADDRESS 2� 1 'l .IDL- NyA., 7�' . ( CITY STATE ZIP f FAX k- ( v3c.y t.�?h- C 07D ( ) - NAME PRIMARY PHONE FZIA-4?)fr - -t -CcA Y. i c_ ( .3 )-1 zU-o$- MAILING ADDRESS A E-MAIL ELECTRICAL H 1H �l A( 4` E 1V k w - 4,n.4-0,,eizc.4-ito l u-mo i t CONTRACTOR CITYSTATE ZIP FAX C-91.--.nv�"u �� CI$3b a ( ) - WA STATE CO CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# f- m 1 e) -l-` g2 P 3 /lel / 1,, NAME PRIMARY PHONE APPLICANT MAILING ADDRESS A. ( ) E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT L� uQ -2✓k-el ©v-N (ZS3)`r-W -RZ-3cl 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 p of this application. Q WSIGNATURE: DATE C�"-2-- —t PRINT NAME: -¢A).A. -6/Lrk to Bulletin#160–April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application