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16-105045 Electrical City of Federal Way Permit #:16-105045-00-EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 Project Name: HOME& HOME Project Address: 31515 PETE VON REICHBAUER WAY S I O Parcel Number:092104 9302 Project Description: Install 0-100 amp service with new copper conduits and new raceways. Owner Applicant Contractor KIMCO REALTY CORP UNIVERSAL ELECTRIC CO UNIVERSAL ELECTRIC CO 3333 NEW HYDE RD 18602 37TH DRIVE SE UNIVEEI985D2(3/22/18) NEW HYDE PARK NY 11042 BOTHELL WA 98012 18602 37TH DRIVE SE BOTHELL WA 98012 Additional Permit Information Is this an Online or O.T.C.application9 Yes Electrical Fixtures Alt. Srvc/Feeder 0 to 200 ami 1 PERMIT EXPIRES Tuesday, 17 October,2017 Permit Issued on Monday,October 17,2016 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 •ton and the City of Federal Way. Owner or agent: e --- ---_, Date:// ' ��+© ` THIS CARD IS TO REMAIN ON-SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16 105045 00 Address: 31515 PETE VON REICHBAUER WAY S I Project: KIMCO REALTY CORP 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 UFER Ground(4295) ® Ditch cover(4030) ® Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) ® Temporary Power(4275) Ill Service(4235) Approved Approved Approved By Date By Date By Date • ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) D Ceiling Cover(4020) Approved Approved (2.1 Approved By Date By i' Date (o l( By Date MI Final-Electrical(4055) Approved ,By C. NAtV\i Date ) 5-, .. —i Rough Electrical111Final Electrical fl Right of Way Approved Approved Approved By Date By Date By Date ► RECEIVED ELECTRICAL CITY OF Federal Way OCT 17 2016 PERMIT APPLICATION CITY OF FEDERAL WAY `� I 0 5-04-5— 00 CDS PERMIT NUMBER — X��ff �� !n SUITE/UNIT/SPACE# SITE ADDRESS: 3/5-/s- „2(:)471- / 1YlJ�C_ (-> ! �0 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE � •d PROJEC AME +'(lJ►�,.�+ (� � `Hiolv�\ (Tenant or Homeowner Last Name) 1 `-- WI A ; p 1 kb t �/'tel PS- ( PROJECT DESCRIPTION r C 't , , 7 -�kk rob_ i' 0 0 1y--- Detailed description of work to 3 < 1 0 �'�1cq 12,E Q A. ,.. be included on this permit only �'" QM?,0fin , KAkti� Q'O _ CQPIeq.(1 , JNAME PRIMARY PHONE ONE -PROPERTY OWNER^ ( ) M ADD ESS E-MAIL '" ice - �a� S Q., TY ATEZIP FAX 1. I4s9.00 �� ( ) NAMEPRIMARY PHONE 0-1 (L l�Sc ,et t,e --Pl.L . ( ) MAILIN<- )3,6e2, � �DRESS �� E-MAIL ELECTRICAL l e 3 7— - S CONTRACTOR C) --�- STATE ZIP FAX y ,_.v ( ) WA ST TE CONTRACTOR'S LICENSE# EXP TION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE APPLICANT -3-cKLQ Fy(x n ( ) MAILING ADDRESS E-MAIL CITY . ✓ --. STATE ZIP FAX ( ) NAME ' PRIMARY PHONE PROJECT CONTACT YUil c. ) 35 3?32-- 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 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 application. SIGNATURE: DATE `:::3 ` ---/C PRINT NAM • it!. — I� �_�Gy Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application