15-105456 •
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Community&Econ,Dev ServicesFiLErmit #: 15-105456-00 EL
(253F)e8d3e35a3362w05a8ythaWAAve2930)0335-2609
Inspection Request Line: (253)835-3050
Project Name: SCHWARTZ
Project Address: 36404 12TH PL S Parcel Number: 292104 9140 ,.
Project Description: ADD/MODIFY 1 CIRCUIT,LOW VOLTAGE T-STAT
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Owner Applicant Contractor
THOMAS C SCHWARTZ KATIE SUNDERLAND PUYALLUP HEATING&A/C(ELECTRICAL)
36404 12TH PL S PUYALLUP HEATING&A/C PUYALHC913L6(6/29/17)
FEDERAL WAY WA 98003-7453 130 15TH ST SE 130 15TH ST SE
PUYALLUP WA 98372 PUYALLUP WA 98372
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
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Electrical Fixtures
Circuits-Residential 1 Thermostat. 1
PERMIT EXPIRES Saturday, April 23, 2016
Permit Issued on Monday, October 26, 2015
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: ORLI-NE Date:\\:\
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OF
® THIS CARD IS TO ON-SITE ,i
C,TMOF Construe*�� �etion Record
Federal Way INSPECTI. _.,t,. �. .253)835-3050
PERMIT#: 15-105456-00-EL Address: 36404 12TH PL S
Project: THOMAS C SCHWARTZ FEDERAL WAY, WA 98003-7453
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.
® UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
,
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
� Date l l'� \p ''C------
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❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date