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THIS CARD IS TO REMAIN ON-SITE °
CITY OF ,
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-101649-00-EL Address: 30023 2ND CT S
Project: HSTANG FA WANG FEDERAL WAY, WA 98003-4302
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.
E UFER Ground (4295) El Ditch cover(4030) n Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
Dag,-- l
O Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ELECTRICAL
CITY OF
Federal Way APR 04 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER / 6. - f 0 0 ‘ V. 9 -
SUITE/UNIT/SPACE#
SITE ADDRESS: boo a.3 EL^ L L c
J
PROJECT VALUATION ASSESSOR'S TAR/PARCELC# CURRENT/PROPOSED USE
o%�V 4' 1 . ;- 0 - 0 L �- /� hswe.
PROJECT NAME
(Tenant or Homeowner Last Name) (2) , NviAlet,...)
evc cliriAbAi - azu ciA.Ctiva-
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAI-" , rc PRIMARY PHONE
PROPERTY OWNER wl a X/ (9 p) kaO- cpegr
MAILING ADDRESS 000 E-MAIL
36-1 -3 2-►S a -S
CII , STATE ZIP no s FAX
NAME - / PRIMARY PHONE
`'
MAILING ADDRESS E-MAIL
ELECTRICAL twit d
CONTRACTOR C 5e04(4Sen. ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
....... IJ r11;-t5 Fico AA- 1 "- 17 a7-u--!U' -di -.et
NAMEcPRIMARY PHONE
APPLICANT 6AALL 65 • ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
(/�� ( )
PROJECT CONTACT NAM. // V" PRIMARY PHONE
r` k5e4,351u Wm Lel- 5-53-
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.
SIGNATURE: 9th5 DATE V
c.///60,,
PRINT NAME: J Q f l'' Lam, A $ 2�1.(,/5j ) �.� r
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application