17-104667 Electrical
City or Federal Way Permit #:17-104667-00-EL
Community Development Dept.
33325 8th Ave S
W
Federal Way,WA 98003 p Ins ection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: BELMOR PARK SPACE 113
Project Address: 2101 S 324TH ST Parcel Number: 162104 9037
Project Description: Reconnect new MH to existing pedestal
Owner Applicant Contractor
BELMOR MOBILE HOME PARK LP GAVIN LUMSDENCOPPER CREEK COPPER CREEK ELECTRIC INC
2101 S 324TH ST ELECTRIC INC COPPECE984KP(5/18/18)
FEDERAL WAY WA 98003 PO BOX 1773 PO BOX 1773
ORTING WA 98360 ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C.application? Yes
Service or Feeder-Manu./Mo 1
PERMIT EXPIRES Saturday,29 September,2018
Permit Issued on Friday,September 29,2017
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
W in to a d th City of Federal Way.
Owner or agent: NE Date:
l _csCoit Ns-s--
If
THIS CARD IS TO REMAIN ON-SITE
�m� Construction Inspection Record
FeCI@rai Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 104667 00 Address: 2101 S 324TH ST Space 113
Project: BELMOR MOBILE HOME PARK LP 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.
0 Slab/Concrete Floor(4255) 0 Final-Electrical(4055)
Approved to place concrete Approved
By Date By Date l l k to l7
SITE .
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date