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16-105589 .►. I AI .4 . • Electrical City of Federal Way Permit #:16-105589-00-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: RUSSELL Project Address: 33605 39TH AVE SW Parcel Number: 921151 0390 Project Description: Replacing 0-200 amp panel and receptacles for associated kitchen,bath and laundry remodel work Owner Applicant Contractor ANTHONY B RUSSELL POWER ELECTRIC POWER ELECTRIC 33605 39TH AVE SW 7423 48TH ST NE POWERE*99105(9/25/17) FEDERAL WAY WA 98023 MARYSVILLE WA 98270 7423 48TH ST NE MARYSVILLE WA 98270 Additional Permit Information Is this an Online or O.T.C.application? Yes 5 6 %,; '. Electricii tures Alt. Serv./Feeder:0 to 200 am] 1 PERMIT EXPIRES Thursday,23 November,2017 Permit Issued on Wednesday,November 23,2016 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: iiimpow 7 ; Date: /// /—er{ <---, p/if 4 4 . THIS CARD IS TO REMAIN ON-SITE CITU OF 'Z'"'''3'-=w� Federal Way Construction Inspection Record y INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16 105589 00 Address: 33605 39TH AVE SW Project: BRIAN R RUSSELL FEDERAL WAY WA 98023-2912 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. ® 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) Q 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 PW! Date 11120, 14,, , By Date 0 Final-Electrical(4055) Approved By Date ---\ Rough Electrical D Final ElectricalIDRight of Way Approved Approved Approved By Date By Date By Date RECEIVED ELEC'T'RICAL CITY OF ' NOV 2 3'2016 Federal Way PERMIT APPLICATION CITY OF FEDERAL WAS CDS PERMIT NUMBER l _ I 55- 8 00 SUITE/UNIT/SPACE# SITE ADDRESS: ,,-,, j/j A v e PROJECT VALUATION ASSESSOR'S TAX ARCEL# 00 CURRENT/PROPOSED USE $ --0617 -::::- Clg I . 3 _ PROJECT NAME r �� (Tenant or Homeowner Last Name) S PROJECT DESCRIPTION ��Q ( C' b�L�t � l 1'< GZC511IJ Q G, Detailed description of work to 1 �'QS' t A) 1 f-CtQ c be included on this permit only JJ NAME PRIMARY PHONE PROPERTY OWNER /9n/1J&f2ZJ (fsSe/ (2u0cs - „S©e- ' MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME ca. PRIMARY PHONE �a U�'e� L //c-6---c c ( f Z$ .75- --5 9-g MAILING ADDRESS _ E-MAIL ELECTRICAL 7 o` �(�t S N. /_= CONTRACTOR CITYSTATE ZIP FAX –6- / dY 5 U'c WA STATE CONT CTOR'S LXCENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME ��- v4o ( c PRIMARY PHONE l../ APPLICANT r72- ( ) - MAILING ADDRESS E-MAIL CITYv 1/' C ( IP F° FAX / 3T ZIP ( ) PROJECT CONTACT NAME �^ PRIMARY PHONE J6'r =e V. �4l'S (t�zrs)7sy- . 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. SIGNATU=TI .1...' �_ DATE f `��3/ O` i_ �/J— PRINT NAME: — iii v pJ Cj �” Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application