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Electrical
City of Federal Way Permit #:17-104245-00-EL
Community Development Dept
8 S
33325 8th Ave S
Federal Way,WA 98003 FILE Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: LUDWIG
Project Address: 30745 12TH PL SW Parcel Number: 178830 0180
Project Description: Adding(1)circuit for electrical wall outlet
Owner Applicant Contractor
WILLIAM M LUDWIG WILLIAM M LUDWIG OWNER IS CONTRACTOR
30745 12TH PL SW 30745 12TH PL SW
FEDERAL WAY WA FEDERAL WAY WA
98023-8231 98023-8231
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Circuits-Residential 1
PERMIT EXPIRES Saturday, 1 September,2018
Permit Issued on Friday,September 1,2017
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: (Xy 60404 � � 140 Date:_� lD(2/i
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THIS CARD IS TO REMAIN ON-SITE
"�� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104245 00 Address: 30745 12TH PL SW
Project: WILLIAM M LUDWIG FEDERAL WAY WA 98023-8231
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.
'Q UFER Ground(4295) ,'Q Ditch cover(4030) 13❑ ,
Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•` •. •
El Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
•
•El Final-Electrical(4055)
pproved
Dated—�2 ` (7
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ELECTRICAL
CITY OF
RECEIVED
Federal Way PERMIT APPLICATION
SEP 01 2017
crTY OF FEDERAL W � PERMIT NUMBER 17 t 04-2- 1-5- C)O
COMMUNITY DEVELOPMENT - _
/1 // I PP1-- S� SUITE/UNIT/SPACE#
SITE ADDRESS: �f""T-� 1 (-- 1 [�,�J
PROJECTA00 ASSESSI TA ARCEL#3 0 - . O I 5� CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) up w
ctci s2,62- -rOca( w
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME •
^ PRIMARY PHONE
PROPERTY OWNER W �( Gi Uar) t i ► t Lw 1,k) (Z53 G5:3 CI Q0
MAILING ADDRESS
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20 OpnE�e t�� bt lID -Ev
CITY /��/Q�
ST �6
E ZIP _ A $ �FAX (,/ �j
NAMg PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAM PRIMARY PHONE
OMA)
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
N'° �( w J PRIMARY PHONE
PROJECT CONTACT Q�J, /� 1! ( )
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: ` wt `
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DATE O 9/o
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Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application