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17-105726 V <tA ;R Electrical c Cit Fedeeral Wen?,DeptPermit #:17-105726-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: BREWER Project Address: 834 S 296TH PL Parcel Number:515160 0580 Project Description: Install a new 200 amp service Owner Applicant Contractor JAMES BREWER KYLE WOLDEMERALD CITY ELECTRIC EMERALD CITY ELECTRIC 834 S 296TH PL 317 S 120TH ST EMERACE901JZ(4/18/18) FEDERAL WAY WA 98003 SEATTLE WA 98168 317 S 120TH ST SEATTLE WA 98168 Additi©nal Permit Information Is this an Online or O.T.C.application? Yes Alt.Serv./Feeder:0 to 200 ami 1 PERMIT EXPIRES Thursday,29 November,2018 Permit Issued on Wednesday,November 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 61A �� Washington and the City of Federal Way. Owner or agent: '1t7"A. Date: 11 )01•61 I , z THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 105726 00 Address: 834 S 296TH PL Project: JAMES T BREWER FEDERAL WAY WA 98003-3728 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 UFER Ground(4295) 0 Ditch cover(4030) , 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date .`By Date By Date ® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date By Date By Date .1 .. 7❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 10 Final-Electrical(4055) Approved By Vt4 Date (I 13s tri i Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date CITY F ELECTRICAL Fderal Way RECEIVED PERMIT APPLICATION NOV 292017 OF FEDERALWAY PERMIT NUMBER ' 1 _ I l/ C- to _ COUNITY DEVELOPMENT — — — — SUITE/UNIT/SPACE# SITE ADDRESS: 7j C 61kQ9k. e..1�t.r \. \J4 01 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# 1CURRENT/PROPOSED USE $ 11 A00. w 5 I 5 l CP O - C0 5 O PROJECT NAME (Tenant or Homeowner Last Name) .1-1A(v-k . PROJECT DESCRIPTION in/ 21.-0® rinNe rEq-V 1 LC. Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER '' ''''k(VIA L5 c.t.H/t r ( c) 1411 - (93 i MAILING ADDRESS E-MAIL % 34 s; )-?,k,"" VV CITYSTATE ZIP FAX 'e.A.Jc In\ 61 kAIPK C%c)"1 ( ) - NAME PRIMARY PHONE e,,,,,,-.k& cit, Eko �c. (1`, )vel. - 8u4, MAILING ADDRESS E-MAIL ELECTRICAL 0 C. V AQ S , CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# �rnet�c e, °10 `�. ®y / I$ / -.v .9 NAME PRIMARY PHONE APPLICANT ~.1(IL \ i k (1A1/4. ) by Vtlio MAILING ADDRESS E-MAIL CITY \/, STATE ZIP ea a ((�,�( FAX ..J li� �. W‘ ea.% ,'V ( ) - NAME PRIMARY PHONE PROJECT CONTACT ( ) 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: 1 �� f k DATE 11),161110(/ PRINT NAME: I<1 L, 1,J o P Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application