13-105118 • 1111 f Electrical
Cay
Communty&Econ.Deof Feralv.Services Permit #: 13-105118-00-EL
333Ave S
Federal Way8th WA 98003 Request(253)835-260725 Fax:(253)835-2609
Inspection Re uest Line: (253)835-3050
Project Name: YOUNG'S FAMILY DENTISTRY \vkt3
Project Address: 30821 14TH AVE S Parcel Number: 082104 9139
Project Description: Relocating(2)circuits
Owner Applicant Contractor
YOUNGS FAMILY DENTISTRY WILDERNESS ELECTRIC INC WILDERNESS ELECTRIC INC
30821 14TH AVE S 23220 MAPLE VALLEY/BLACK DIAMOND RI WILDEEI147M4(7/24/14)
FEDERAL WAY WA 98001 MAPLE VALLEY WA 98038-0250 23220 MAPLE VALLEY/BLACK DIAMOND R
MAPLE VALLEY WA 98038-0250
Additional Permit Information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 2
PERMIT EXPIRES Wednesday, May 14, 2014
Permit Issued on Friday, November 15, 2013
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
011che o I Way.
Owner or agent: Date:
FINALED
CITY of t
ITYOF llNa Construction In ection Record
FeINSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105118-00-EL Address: 30821 14TH AVE S
Project: YOUNGS FAMILY DENTISTRY FEDERAL WAY, WA 98003
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 UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
4 30< i p.
Date / G'
FILE
Rough Electrical
Approved ❑ Final Electrical Right of Way
. Approved Approved
By Date By Date By Date