17-104088 _�, wit-,
_-
Electrical
City of Federal Way Permit #:17-104088-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: WILMOTH
Project Address: 30625 7TH AVE SW Parcel Number: 178880 0250
Project Description: Residential Septic Pump System
Owner Applicant Contractor
JENNIFER WILMOTH TY ELKINTONBRAHMA ELECTRIC LLC BRAHMA ELECTRIC LLC
30625 7TH AVE SW 24653 E 24653 208TH AVE SE AVE BRAHME*842BR(1/19/18)
FEDERAL WAY,WA 98023 MAPLE VALLEY WA 98038 24653 E 24653 208TH AVE SE AVE
MAPLE VALLEY WA 98038
Additional Permit Information
Is this an Online or O.T.C.application? Yes
PERMIT EXPIRES Friday,24 August,2018
Permit Issued on Thursday,August 24,2017
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
Washin• •• -nd the . • ederal Way.
Owner or agent: �_ te�..„_ - Date: Ce-79 ?O/7
I
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A e-........%, THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104088 00 Address: 30625 7TH AVE SW
Project: JENNIFER WILMOTH FEDERAL WAY WA 98023-3923
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.
,® UFER Ground(4295) "® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•Q Pool Bonding(4195) ® Temporary Power(4275) ® 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 By Date By Date
10 Final-Electrical(4055)
Approved
•B}— Date—OS—(-2
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
444.. flNy8 j ELECTRIC L
CITY OP (
Federal Way PERMIT APPLICATION
PERMIT NUMBER I - 1 0 I d
l SUITE/UNIT/SPACE#
SITE ADDRESS: 3 ZZS 7 Ave S mil
PROJECT VALUATION A�ESSOR'S TAX/PARCEL � � _ � � � �}� CURRENT/PROPOSED USE
000 7 Qv
PROJECT NAME Roe-
PROJECT
(Tenant or Homeowner Last Name)
DESCRIPTION Qe.Strin�,'ft u ( <4)4C 9 Sy
Detailed description of work to
be included on this permit only
NAME APRIMARY PHONE
PROPERTY OWNER1oC- ( ) -
MAILING ADDRESS E-MAIL
3o6Z5- 7 ' fes- St„I
CITY STATE ZIP FAX
few c, y (,,/+q" ( ) -
NAME PRIMARY PHONE
gr'attrvvx ( 2(6 ) 5b b - LIGc 1
MAILING ADDRESS I E-MAIL f
ELECTRICAL P•0, Ra-?( LC/ -Tito gralimae pc/r.c •ram
CONTRACTOR CITY Vat�UjL�J STATE ZIP 3 FAX
WA STATE NTRAAO '3 LICENSE#
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
gR�91'ME 8928 R 01% 19 IZo►8
NAME 7� PRIMARY PHONE
APPLICANT / E t Letv " (ZC" ) 570- 410(1
MAILING ADDRESS E-MAIL
Z4C053 Zoe s.o4 a 6c-Iric -car
CITY STATE ZIP FAX
N 6_ Lae(' ('4 R8o38 ( ) -
PRIMARY PHONE
PROJECT CONTACT ( )
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 applic• .n.
i
SIGNATURE: ' /� - DATE Ce-Z�7Cl
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