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13-1049680 City of Federal Way community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: WASHINGTON STATE LOTTERY Project Address: 33701 9TH AVE S Project Description: Low -voltage wiring for CCTV camera. Electrical Permit #: 13 -104968 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 926480 0180 Owner ARRlican Contractor WASHINGTON STATE LOTTERY MVMCGHEE MVMCGHEE PO BOX 43040 ONE 37TH ST NW UNIT F MVMCG**96400(10/25/14) OLMYPIA WA 98504-3040 AUBURN WA 98001 ONE 37TH ST NW UNIT F AUBURN WA 98001 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Service greater than 999 Amps? .............................No Electrical Fixtures', Low Voltage - Other (Commercial 1 Is Use Educational or Institutional? ....................... No PERMIT EXPIRES Monday, May 5, 2014 Permit Issued on Wednesday, November 6, 2013 I hereby certify that the above information is correct the occupancy and the use will be in accordance�y Owner or agent that the construction on the above described property and Fe laws, rules and regulations of the State of Washington of Federal Way. Date: �% A, CITY OF t Federal Way PERMIT #: THIS CARD IS TO,MAIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 13 -104968 -00 -EL Address: 33701 9TH AVE S Project: WASHINGTON STATE LOTTERY FEDERAL WAY, WA 98003-6762 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. Pool Bonding (4195) Approved By Date Feeders/Sub-panels (4045) Approved By Date Final - Electrical (4055) Approve By Dal rk LIFER Ground (4295)Ditch cover (4030) By Slab/Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date By Date Pool Bonding (4195) Approved By Date Feeders/Sub-panels (4045) Approved By Date Final - Electrical (4055) Approve By Dal rk Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Temporary Power (4275) Approved By Date Rough Electrical (4225) Approved By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Service (4235) Approved By Date Ceiling Cover (4020) Approved By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date uT„ of A Federal Way RECEIVED Nov 06 2013 CITY OF FEDERAL WAY CDS ELEC'T'RICAL PERMIT APPLICATION PERMIT NUMBER / 3 - / V / Z - E6_11 SITE ADDRESS: � -3 ", Q ` + L Ave- -S f:i Q W Ake SUITE/UNIT/SPACE / PROJECT VALUATION l'�D ASSESSOR'S TAR/PARCEL i - d d CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) / ,� r A U 7 T -T L (L`r PROJECT DESCRIPTION Detailed description of work to be included on this permit only N 5r R i t C kvv� k NI TC C t S t �V GI CLC T U 5%,t S TEwI'— PROPERTY OWNER NAME W A S PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ELECTRICAL CONTRACTORSTATE CONTRACTOR NAME V MCI 1 � ��� t./ PRMARY PHONES /� Qo(q 5-71- � /([1 MAILING ADDRESS ,, ! F 3 f- / S' 1+ W Z -MAIL rk v M C GA W Ec ?- Cr CCru �N STATE v -JA- ZIP 48 a©l FAX c - WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE G FEDERAL WAY BUSINESS LICENSE Y APPLICANT NAME �A�& PRIMARY PHONE ( ) -AILING ADD 3 E-MAIL CITY STATE I ZIP FAX c ) PROJECT CONTACT NAME liblj 1 > Q Uic- PRIMARY PHONE (&kC ) '- Z 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 relgce of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part oft plication. �-j("X1:1to) :ice PRINT NAME: I I / / (P 1 2,, S Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application