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17-105286
Electrical Community Development D •ept. Permit #:17-10528600-EL Ph:(253)835.2607 33325 8th Ave S Federal wayFax:(253),WA 98003 835-2609 Inspection Request Line: (253)835-3050 Project Name: BENSON Project Address: 2321 S 304TH ST Parcel Number:053700 0160 Project Description: Remove existing panel and replace with 200 amp panel Owner Applicant Contractor JEREMY BENSON BROOKSIDE ELECTRIC LLC BROOKSIDE ELECTRIC LLC 2321 S 304TH ST 13411 423RD AVE SE BROOEL869NN(8/16/18) FEDERAL WAY WA 98003 NORTH BEND WA 98045 13411 423RD AVE SE USA NORTH BEND WA 98045 USA Additional Permit Information Is this an Online or O.T.C.application? Yes Alt.Serv./Feeder:0 to 200 am] 1 PERMIT EXPIRES Friday,2 November,2018 Permit Issued on Thursday,November 2,2017 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: ll,hIP� Date: P\. _ , THIS CARD IS TO REMAIN ON-SITE ` Fecl�rat Wa Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 105286 00 Address: 2321 S 304TH ST Project: VANESSA BENSON FEDERAL WAY WA 98003-4872 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) Ditch cover(4030) 3❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) ' ® Temporary Power(4275) 1 • ® Service(4235) Approved Approved Approved By Date • By Date By Date . �. .r . 0 Feeders/Sub-panels(4045) ® Rough • Electrical(4225) Q Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date . Final-Electrical(4055) Approved Date V i , 0 Rough Electrical 0Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVED ELEC'T'RICAL CITY Of NOV o 2 2017 Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT I _ I 0 5 2 g� _o p PERMIT NUMBER -7--- SUITE/UNIT/SPACE# SITE ADDRESS: Si cl() # S� PROJECT C �T� ASSESSOR'S TAR/PA # V C - O 1 / 0 CURRENT/PROPOSED USE PROJECT NAME ll//JJ11 c7227 11 /\(^( (Tenant or Homeowner Last Name) QS\ V,,\2_,(‘‘ 4 N(Ne\ C.VO,ne� J\ l 2, )C I 7 PROJECT DESCRIPTION Detailed description of work to be included on this permit only NA PROPERTY OWNER .C'tr nSo ( S) ms - O''G,Sc) DIMLING ADDRESS '' ,''' \ S- CA-- S� ...SUNZAYN0kO cle ml .CD rsiN 7ct-4--A \} °\ \ TE 74\ M C. WAILING ADDRESSSS ^�E-MAIL ELECTRICAL \� r\\ � V�' � c'`'��1 Q�Q '�R CONTRACTOR CV ,� � ( ) F WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 'b'�D©�Csi-' S VIM � / NAMEPRIMAARY PHONE APPLICANT @ btu Q, �� 1r !-\ 6'- (��s )�1 1 - t�� MAILING ADDREif� EMAIL Ti C ' CbbN)\ iSkATE ) %OS ( ) FAX PROJECT CONTAE CT N� l?. �k�- ( ) U I I PRIMARY 75-5aN I certify under penalty ofperjury that I am theproperty owner or authorised 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 authorised by the issuance of a permit. I understand that the is 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 suc claim arises out of the reliance of the city, including its officers and employees, upon the,accuracy of the information supplies o the •-tyas of this application. .r'�iq11 0').-\ SIGNATURE: 1 DATE �� PRINT NAME: �jt Y. t t_. R.'\x'i Z P— PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+ FAX 253-835-2609 + permitcenterOcityoffederalway.com Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application