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17-105318
Ablo Amor- „ . a Electrical Cityrya Permit #:17-105318-00-ELc ; ,Federal 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: SAGHALIE MIDDLE SCHOOL Project Address: 33914 19TH AVE SW Parcel Number: 192104 9033 Project Description: Add power and data to Engineering Lab. Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOLS TONY MATIATOSGREENE GASAWAY NORTH SHORE ELECTRIC INC 33330 8TH AVE S ARCHITECTS NORTHSE983PH(10/13/18) FEDERAL WAY WA 98003-5433 PO BOX 4158 14590 CAVALLI RD SE FEDERAL WAY WA 98063-4158 OLALLA WA 98359 Additional Permit information Is this an Online or O.T.C.application? No G�r Alt.Srvc/Feeder 0 to 200 ami 1 Low Voltage-Other(Commei 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 4shington and the City of Federal Way. Owner or agent: Date: 1//21/il 1 FINALE DA1 E INSPECTOR AREA AND TYPE OF INSPECTION ' t112-trI" his, P44(4 F 1 . PCNdiaq LIsk-iliVow44tk b� Gu THIS CARD IS TO REMAIN ON-SITE �r"� Construction Inspection Record FeCleral Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 105318 00 Address: 33914 19TH AVE SW Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY WA 98023 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) • El Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date Q Pool Bonding(4195) • El Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date By Date By Date OA ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date , By Date t Final-Electrical(4055) P.r, Approved By VW1 Date t}I y1117 D Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED 0 207 ELECTRICAL CITY OF 3 NOV Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT PERMIT NUMBER ( O 51 _ E I' 1111 . 1 Pc&+'P'L.L E f'—\ i2 V)L4ti SUITE/UNIT/SPACE# SITE ADDRESS: 33914 91 6 s w, Fever-AL w/} (, 91o#2„:" PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ Ito/sand 19 '2- l D 4- _ q © S�H-ool..f Z�klper, PROJECT NAME l'A13a15a‘oh4,16 004tNe€ 1iJ( LA , fp PlLoVer-t60-r (Tenant or Homeowner Last Name) kbD Pow GR. -t- t,7aTA '[b t, 6t w ee r-t ut> PROJECT DESCRIPTION La4C1:5 Detailed description of work to be included on this permit only NAME M I% 6 3CP2.I 5 PRIMARY PHONE. PROPERTY OWNER FC-peM L. wilt-t P og“,G S doth ( c - fel 64 MAILING ADDRESSE-MAIL 4i3'ji St`"AuG 5ocs[tk w►ben31 ew ® (1. 95119r5 CITY STATE ZIP FAX wAy Wrk 91, ( ) - NAME ..._ PRIMARY PHONE T tBr, c ) — MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT .. /611%-kai A'��1 ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ) NAME PRIMARYPHONE t µy PROJECT CONTACT Too‘i PT ) 1, (j$3 14l — +41 -1 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. /y SIGNATURE: ! r � DATE I V s0� 74 17 PRINT NAME: T A X 14 T 1 P- ete PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325 253-835-2607+ FAX 253-835-2609+permitcentergcityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application