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17-104258 tr F V , w Electrical c`�ofFederslway Permit #:17-104258-00-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: GILLETT Project Address: 2645 S 298TH ST Parcel Number:768380 0291 Project Description: Install meter base,strike,weather head and panel. 15A light circuit,60 amp RV circuit and 20 amp outlet Owner Applicant Contractor CHARLES GILLETT CHARLES GILLETT OWNER IS CONTRACTOR 3429 S 308TH PL 3429 S 308TH PL FEDERAL WAY WA 98002 FEDERAL WAY WA 98002 • Additional Permit information Is this an Online or O.T.C.application? Yes New Service:Residential PERMIT EXPIRES Wednesday,5 September,2018 Permit Issued on Tuesday,September 5,2017 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 Washington and the City of Federal Way. Owner or agent: �- Dater / • 1 C 1 . ♦- - • 1. THIS CARD IS TO REMAIi�i*ON-SITE - CITY Of Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 104258 00 Address: 2645 S 298TH ST Project: MARY ANNE GILLETT FEDERAL WAY WA 98003-4220 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) ® Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date By Date By Q � 1a.A Date ..ti,„_ I „ " Feeders/Sub-panelsEl Electrical(4225) 0 4045 ( ) ® Ceiling Cover(4020) Approved Approved Approved •By Date By Date •By Date El Final-Electrical(4055) Approved By 6. b_, Date at-tv..I ? ❑ Rough Electrical ❑ Final Electrical ❑ Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CITY OF017 ELECTRICAL Federal Way SEP C� C��M�� PERMIT APPLICATION COMMM PERMIT NUMBER f 1 _ (70 SUITE/UNIT/SPACE# SITE ADDRESS: 6 V5— 5-, 78 714- - Tl, PROJECT ASSESSOR'S TAX/PARCEL# � � CURRENT/PROPOSED USE ((jj//�'(//]UU 7 3 0 _ a % V ?e ek-%'-f PROJECT NAMEj/e 74- (Tenant or Homeowner Last Name) / / PROJECT DESCRIPTION wee, 7E-4le/e he 4`' P`��e Detailed description of work to i`G,4,1 L - ,`/�Cy f Gj p�yj� � C! ' 'e e, be included on this permit only J a� /1; � /� NAMEPRIMARY PHONE PROPERTY OWNER '`L✓eq/e PS GG///CV^� / t�S�J (y 70- MAILING ADDRESS E-MAIL 31a 9 .3e39?-1. /e/544e.n ,geerte, CITY STATE ZIP FAX /fit 67 &4 �f d�/ ( ) - NAME PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT ©4)/4,1e4 ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE PROJECT CONTACT 6 i3�� ( ) I certify under penalty of perjury that 1 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..ion. SIGNATURE: ,ir �/ Q DATE / ✓ � 7 PRINT NAME: 7�/' c r ' PERMIT CENTER+ 33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609 +pr>rniitccntciOcihvo11ecicrahcm Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application