12-103607 • Elesctrical
Community&Econ.Devv..of Federai Services
33325 8th Ave S F ' Permit #: 12-103607-00-EL
Federal Way,WA 98003 tion R
ec
Inse Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p Q )835-3050
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: ALTER LOW VOLTAGE DISPENSER CIRCUITS
Owner Applicant Contractor
FRED MEYER INC ROBERT JACK MASCOTT EQUIPMENT CO INC
PO BOX 42121 MASCOTT EQUIPMENT CO INC (ELECTRICAL)
PORTLAND OR 97242 6530 5TH PL S MASCOEC957C8(6/5/13)
SEATTLE WA 98108 435 NE HANCOCK ST
PORTLAND OR 97212
Additional Permit Information
Is Use Educational or Institutional'? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial; 3
PERMIT EXPIRES Thursday, August 7, 2014
Permit Issued on Tuesday, August 7, 2012
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 the City of Federal Way.
Owner or agent: � Date:
>
• THIS CARD IS TO MAIN ON-SITE '
Federal Construction In ection Record
Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-103607-00-EL Address: 33702 21ST AVE SW
Project: FRED MEYER INC FEDERAL WAY, WA 98023-7762
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 UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) '❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 ,_ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By- Date • By Date By Date
O Final'-Electrical(4055)
Approved
By Et., Date $ _ a%.1y
E l Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date