14-103587 • • Electrical
CCity of Federal way Permit #: 14-103587-00-EL1
ommunity&Econ.Dev.Services
33325 8th Ave SF ILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WAX
Project Address: 29832 6TH AVE S Parcel Number: 515200 0020
Project Description: Adding(4)circuits for dryer,range and washer install
Owner, Applicant Contractor
GAIL IRENE WAX D&C ELECTRIC D&C ELECTRIC
NICHOLAS WAX 5012 S THOMPSON AVE DCELECE862CG(2/7/16)
29832 6TH AVE S TACOMA WA 98408 5012 S THOMPSON AVE
FEDERAL WAY,WA 98003 TACOMA WA 98408
Additional Permit Information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 4
PERMIT EXPIRES Wednesday, January 14, 2015
Permit Issued on Friday,July 18, 2014
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
n�...and the City of Federal Way.
Owner or agent: J Date:
THIS CARD IS TO • I ON-SITE f
CITY°F • Construction In -. • ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-103587-00-EL Address: 29832 6TH AVE S
Project: GAIL IRENE WAX FEDERAL WAY, WA 98003-3624
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.
O UFER Ground (4295) 0 Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
o Pool Bonding(4195) 0 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 `, Date q " !` By Date
'0 Final-Electrical(4055)
Approved
By 0..) ti. Date 3 1"'1.—\:� ,
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
Federal Way
PERNOT NUMBER (4-
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ECTRICAL
PERMIT APPLICATION
O 5 S 7 S RECEIVED
--------- JUL 182014
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PROJECT DESCRIPTION
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be included on this permit only
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I certify under penalty of per jury that I am the properly owner or authorised 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 win comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compli— 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, —dined 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 apart of this application.
SIGNATURE -
PRINT NAME:
Bulletin #160 — January 1, 2013 Page 1 of 2 k: tlandoutsTlectricai Permit Application