15-103643 . . _ E1ectrita1
City of Federal WayD / A C
Community&Econ.Dev:Services ' Permit #: 1 5-103643-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SMITH
Project Address: 28300 15TH AVE S Parcel Number: 025130 0080
Project Description: install one circuit for air conditioner
•
Owner Applicant Contractor
DOUGLAS SMITH NORTHWEST PERMIT/WESCO WASHINGTON ENERGY SERVICES CO
LOUISE SMITH 1345 W GULF RD (ELECTRICAL)
28300 15TH AVE S POINT ROBERTS WA 98281 WASHIES971OD(9/4/15)
FEDERAL WAY WA 98003 2800 THORNDYKE AVE W
SEATTLE WA 98199
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Wednesday, January 20, 2016
Permit Issued on Friday, July 24, 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 Ni
L I Date:
y
THIS CARD IS T MAIN ON-SITE
Federal Way • Construction Inspection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-103643-00-EL Address: 28300 15TH AVE S
Project: DOUGLAS SMITH FEDERAL WAY, WA 98003-3114
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.
0 Rough Electrical(4225) El Final-Electrical(4055)
Approved Approved
By Date By 0 ,�` Date *.,, %ct . .
FILE
El Rough Electrical 0' Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.