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15-101779 ars *1' Electrical Community&8con.raDev.aServices Permit #: 15-101779-00-E L 33325 8th Ave S Federal Way,WA 98003 F I LE Inspection Request Ph:(253)835-2607 Fax:(253)835-2609 Line: (253)835-3050 r Project Name: DENNY'S RESTAURANT Project Address: 34726 16TH AVE S Parcel Number: 212104 9077 Project Description: Adding/altering(1)circuit for gas water heater replacement Owner Applicant Contractor COMMERCIAL NET LEASE REALTY DAVINDER CHAWLA MNG MBR FULLER ELECTRIC(ELECTRICAL) 450 S ORANGE AVE NORTHWESTERN FOODS WASHINGTON FULLEEI027BK(1/12/16) ORLANDO FL 32801-3383 LLC 37107 12TH AVE S SUITE A-5 73 BLACKHAWK CLUB CT FEDERAL WAY WA 98003 DANVILLE CA 94506 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. 1 PERMIT EXPIRES Wednesday, October 7, 2015 Permit Issued on Friday,April 10, 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: ". Date: t/://11/if / / / _.. ..., 92.. ..ct.© r 41/4 EL CTRICAL CITY OF Federal Way PERMIT APPLICCATEDION RaCeIV PERMIT NUMBER [5 _ 1 0 1 7- Fq _ 00 APR 1 0 2015 �4 CITY OF ADL WAY SUITE/UNI SITE ADDRESS: 31/17 Ze `l� nPe Fe/r � / ,j) / , 9: 3 S PROJECT VALUATION ASSESSOR'S TAX/PARCEL#° 4eF _ � ° � 7-- CURRENT/PROPOSED USE PROJECT NAMEJ— �n x,11 .-" (Tenant or Homeowner Last Name) ge rt � L '�fljV J PROJECT DESCRIPTION .2W-64/1 /7e741 Ji/E y .4417 lee Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER /1h li'h / �l//�/�/2 ,/LD1'/%/�ffe;'- F��r (�Y)`/del g MAILING ADDRESS _ / E-MAIL 57/0 //4'•F 2 CITY ! STATE ZIP FAX (4)4. T?4'zq (87))2l - gi2 NAME PRIMARY PHONE//& 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 /9hf/Mys y �r ', �1t i/,., (r& (9?sr�/a1-��'j MAILING ADDRES E-MAIL 5-//1) /ode.,rD" //&y - CITY STATE ZIP FAX 9Fz-/zg NAME PRIMARY PI PROJECT CONTACT f/ �1i�� (ff� /�b'z"/ �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 Iaws 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. C r/j '' SIGNATURE: DATE �( ✓� PRINT NAME: /XI/#44P)1// "A9ifI/, y Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application