16-103148 Electrical
City of Federal Way •
Community&Econ.Dev.Services Permit #: 16-103148-00-E L
33325 8th Ave S
Federal Way,WA 98003 FILE
Ph:(253)835-2607 Fax (253)835 2609 Inspection Request Line: (253)835-30550
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Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: Modify(2)20A circuit for Combi Oven,located in Deli section
Owner Applicant Contractor
FRED MEYER INC NICK PROVO SEA TAC ELECTRIC INC
PO BOX 42121 SEA TAC ELECTRIC INC SEATAEI077RW (12/17/17)
PORTLAND OR 97242 7056 S 220TH ST 7056 S 220TH ST
KENT WA 98032 KENT WA 98032
Additional Permit Information
Electrical Work Valuation? 200 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial. 2
PERMIT EXPIRES Thursday, June 29, 2017
Permit Issued on Wednesday, June 29, 2016
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:
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41 A i
THIS.
unitY IS TO IN ON-SITE 1
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Federal WayConstruction In ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-103148-00-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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
,
CI Pool Bonding(4195) 0 Temporary Power(4275) QService(4235)
Approved Approved Approved
By Date By Date By Date
/ . .
Q Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By � ,,,.: Date .1 _ ,%,.....,
.
SITE
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date