17-105664 • w •
Electrical
City of Federal way Permit #:17-105664-00-EL
Community Development Dept.
33325 8th Ave S
Ph:(253)
Federal 8352607 Way,FWAax: 9(253)835-8003 2609 FILE Inspection Request Line: (253)835-3050
Project Name: DICKERSON
Project Address: 29641 11TH PL S Parcel Number:515160 0346
Project Description: Electric circuit for furnace replacement
Owner Applicant Contractor
DEANNA DICKERSON CYNDAL MILLHOLLINNORTHWEST PACIFIC AIR SYSTEMS(ELECTRICAL
29641 11TH PLS PERMIT 02)
FEDERAL WAY WA 98003 1345 W GULF RD PACIFAS853LB(6/2/19)
POINT ROBERTS WA 98281 12811 PACIFIC HWY S
LAKEWOOD WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes
�'�� rf.r w.� �.,,.i°, '�9*c,�F �. ,,����� .,/�i,,^�`tlrv%��✓ri;�iFr''!�1 'ly.. <€'�Ci�i€�€,)`«��r��r';' d��S�N: <<,,,«€i€ ;,,�. ,lc, ,., Iv�,; .
Circuits-Residential 1
PERMIT EXPIRES Tuesday,27 November,2018
Permit Issued on Monday,November 27,2017
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
Washington and the City of Federal Way.
Owner or agent: ONLINE Date:
\- THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105664 00 Address: 29641 11TH PL S
Project: GREGORY 0 DICKERSON FEDERAL WAY WA 98003-3727
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.
El UFER Ground(4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
.By Date .�By Date ISBy Date
•
4❑ Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved I Approved I Approved
By Date By Date By Date
Q 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 ` ( Date I a `3,),,r(
Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By " Date