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APR' 0 b PERMIT APPLICATION
CITY OF FEDE V'e e) .
s electrical permits may be obtained on-line at www.cityo edercalwcay.com**
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SITE ADDRESS: 3(DP -1 9„) 3) 7-1--fri
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION y,e., Nic,`-J 1--)ctvue-`
Detailed description of work to
be included on this permit only
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PROPERTY OWNER C\c‹.•P Di Wan (zO J gS i 3?�
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NAME PRIMARY PHONE
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APPLICANT 05 cf��e_'' ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME ( )
PROJECT CONTACT �. cvi /ideciD
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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 arty 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 "i (512c42----
PRINT
NAME: 5 t A- t✓1\(IJo(n
33325 8th Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,201 1 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 7,30 1st Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101 200 amp x'$164.00 x$103.50
Each additional 500 ft2-$39.00 201- 400 amp x$307.00 x$121.00
NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x$143:50
lstrvice/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
0-,200 amp..._ x $132.50 x $ 39.00 801- 1000 amp x$565.00 x$236.50
201 -400 amp x, $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401-600 amp x $224.00 x $111.50
601 -800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over"800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1"Service/Feeder Additional Feeders
1"Service/Feeder ;0_ 200 amp x$132.50 xs$103.50
0- 200 amp x $101.00
201- 600 amp x$307.00 x$121.00
201 -600 amp x $164.00
601.-1000 amp x$463.00 x$196.00
Over 600 amp x $246.50
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50 Plan Review required only for:
x $132.50 • New,or alteration to, service of 1,000 amps or greater
Service and feeder • Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%_ +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
O Voice/Data Cabling 0 ° 60 amp x $ 71.00 x $ 32.00
❑ Other 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system: 101-200 amp x $103.50 x $ 51.00
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00
• For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8'h Avenue South•Federal Way♦WA♦98003-6325 •253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application