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17-105790
Electrical City of Federal Way Permit #:17-105790-00-EL Community Development Dept. 33325 8thAve S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: WILLMORE Project Address: 28944 11TH PL S Parcel Number:720570 0080 Project Description: Installation of circuit for new A/C. Owner Applicant Contractor JOHN WILLMORE STEELHEAD ELECTRIC LLC STEELHEAD ELECTRIC LLC 28944 11TH PL S 15526 26TH PL W STEELEL852N6(8/26/19) FEDERAL WAY WA 98003-3706 LYNNWOOD WA 98087 15526 26TH PL W LYNNWOOD WA 98087 Additional Permit Information Is this an Online or O.T.C.application9 Yes F'3`f, ,d�aib fir, ;E, 'IES dad`; 5c '. ,r�,ftE€'i..: -( 'r,�' ,,.y'ti' ,�3�y t, �F�.,say g „S '� '�„�E, � ,.; Circuits-Residential 1 PERMIT EXPIRES Tuesday,4 December,2018 Permit Issued on Monday,December 4,2017 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 Iv A ' Washington and the City of Federal Way. Owner or agent: I l e� /v U(� n eC ri Yl/CDate: L 2017 t THIS CARD IS TO REMAIN ON-SITE "��' Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 105790 00 Address: 2894411TH PL S Project: JOHN WILLMORE FEDERAL WAY WA 98003-3706 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. vs 4 LIFER Ground(4295) 0 Ditch cover(4030) E 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 a•By Date 4,1By Date ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date El Final-Electrical(4055) Approved By \•‘-..--t4 Date \ ',-24 ,..n 0 Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date illik RECEIVED ELECTRICAL Fert OF DEC 0 4 2017 PERMIT APPLICATION Federal Way COM UNRYF p ERAL WAY EVELQPMENT "" Q PERMIT NUMBER / 7- — / 0 S 7 '/ 0 _ SUITE/UNIT/SPACE# SITE ADDRESS: 2 8 77 v //Pz. 5 Fe Gee rc,.e (A/c,1 ps)©03 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# ` CURRENT/PROPOSED USE 1150 77A06 ) a - o o ' b PROJECT NAMEQ (Tenant or Homeowner Last Name) U i o n e W e 6"p N Ai ew' A/C (j, i L PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER 0 i 0 n e lige ee (Zoe) 22 7 - 661 MAILING ADDRESS E-MAIL 2399V 1/ PLS Federc Iii/c.?' CITY STATE ZIP FAX Fede rot wC y WA 98003 ( ) - NAME PRIMARY PHONE 5 eeeileCd g-/ec l,ric (WS ) 772 - 2235 MAILING ADDRESS E-MAIL ELECTRICAL 1 5 6- 26 P2. l t/ G YnnWOO d CONTRACTOR CITY STATE ZIP FAX G'nnwOO ci W 73057 ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL Y BU ESS LICENSE# -5 T E6-L�L 852 Al 6 it-r5277-re /I �f�( 7- NAME PRI Y PHONE Aic1< /(l;r>)<01/ (yZr ) 772- 2235 APPLICANT MAILING ADDRESS E-MAIL /55 26 26 P1 L(/ CITY STATE ZIP FAX I-,n YI WOO w/9 96,067 ( ) _ NAME PRIMARY PHONE PROJECT CONTACT U t o n e. We ge (100 )227 - 6°6/,G'. 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 ci as a part of this application. SIGNATURE: / DATE /2 -0Y- 2017 N PRINT NAME: ; k°(-4:17 / Al. 1710 0 t Bulletin#160—April 14,2016 Page 1 of 1 k:\i-landouts\Electrical Permit Application