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17-103550 Electrical City of Federal Way Permit #:17-103550-00-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: LAKOTA SEWAGE TREATMENT Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105 Project Description: Replace primary voltage switches.Replace(5)internal,primary voltage switches in the S and C Electric Service switchgear. Owner Applicant Contractor LAKEHAVEN UTILITY DISTRICT LAKEHAVEN UTILITY DISTRICT OWNER IS CONTRACTOR PO BOX 4249 PO BOX 4249 FEDERAL WAY WA 98063 FEDERAL WAY WA 98063 Additional Permit Information Is this an Online or O.T.C.application? Yes Low Voltage-Other(Commei 1 PERMIT EXPIRES Tuesday,24 July,2018 Permit Issued on Monday,July 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 i : on and the City of F deral Way. i Owner or agent: /7 /� Date: i� DAT!: INSPECTOR 1,RE ‘ AND TYPI: OF I\SPECTJ()r* 3 '4 _ l, 'r. i�r.� tom. 1 � �. e 1 t THIS CARD IS TO REMAIN ON-SITE CITY°� Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 103550 00 Address: 3203 SW DASH POINT RD Project: LAKEHAYEN UTILITY DISTRICT FEDERAL WAY WA 98023-2340 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. 0 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date .,‘By Date By Date r.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) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date El Final-Electrical(4055) .. oved i By 4 Dat 4111P— ?" 0 Rough Electrical Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date F RECEIVED ELECTRICAL CITY O Federal Way JUL 2 4 2017 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT 1 .7--_ to S 5 O _ 00 PERMIT NUMBER /� C SUITE/UNIT/SPACE# SITE ADDRESS: a� , , 1 0a k p� ` T 4 PROJECT N ICC L S 'S TAX/PARCEL J 0 5 - l t� �✓ S �Y`GC" V,'�-1'tFIIREll (�;- 6.+ PROJEE CT NAME R ' P� 00 lA--ck_T_ S(K.5 k TC lAP�`(Tenant or Homeowner Last Name) �P`ac� ��GLV�� j floe \cre `,`9P I,,,A-0 J`� V1 k\/\/�O\ `A C)a l�c C APS c C Ce.7.. kY-' PROJECT DESCRIPTION �} f' �E' C Detailed description of work to c' Cr( P_ Sr 0 c 1-r L\cue t0", be included on this permit only TAME r , r ' ` /, PRIMARY PHONE PROPERTY OWNER KP 0. I1JOAf'V\-a'sf?i 4?S3 )6)(4 - I S q ASAILI©nA�b RESS E-MAIL P , 6m 44C( CITY STATE ZIP FAX NAME PRIMARY PHONE Ge,V-r ( ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / ',�/� _ ( PRIMARY, ` PHONE APPLICANT 76�tX'(` v �-�`�e `e, "A )4C.'S - �l MAILING ADDRES , E-MAIL Ci., _.S�..�` l I. WSTE ��✓ ( ) FAX - lit. - ^ � PRIMARY PHONE PROJECT CONTACT �CICv t' Vsik a v"� � e R3 )� 4,r 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: f he reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as • this applicatlo SIGNATURE: — /#�� DATE PRINT NAME: AO j CI i' I. Yv `et ) OKA-Art PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+ FAX 253-835-2609 + permitcenter@cityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application