12-101900 • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-101900-00-EL
33325 8th Ave S FILE
Federal Way,WA 98003 Inspection RequestLine:
Ph:(253)835-2607 Fax (253)835-2609 i spec (253)835-3050
Project Name: ST FRANCIS WEIGHT LOSS SURGERY CLINIC
Project Address: 34509 9TH AVE S Unit 203B Parcel Number: 750451 0010
Project Description: Low Voltage Voice and Data Cabling
•
Owner Applicant Contractor
ST FRANCIS MEDICAL CENTER JIM BRASSFIELD B&C TELEPHONE INC(ELECTRICAL)
ASSOCIATION BLACK BOX NETWORK SERVICES BCTELI*001L1 (6/21/12)
1717 S J ST 800 SW 34TH ST SUITE A 800 SW 34TH ST SUITE A
TACOMA WA RENTON WA 98057 RENTON WA 98057
98405-4933
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial 33
•
PERMIT EXPIRES Wednesday, April 30, 2014
Permit Issued on Monday, April 30, 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
oNLI'�� of Federal Way. I�
Owner or agent: Date: /1
I
r�
FINALED /5/,2.
, THIS CARD IS TO EMAIN ON-SITE
CITY OF SConstruction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101900-00-EL Address: 34509 9TH AVE S Unit 203B
Project: ST FRANCIS MEDICAL CENTER A: FEDERAL WAY, WA 98003
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.
El Rough Electrical(4225) ❑ Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved Approved
By Date BSS Date5—lei—JZ, By Ic:2 Date�_-s -
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date