15-103840 • ,. ,.: . • . Electrical
Community
City of
Permit #: 15-103840-00-EL
33325 8th Ave SFILE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p 4
Project Name: JACKSON '2
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Project Address: 3813 SW.331ST ST Parcel Number: 873213 1410
Project Description: 100 AMP PANEL CHANGE WITH 30 AMP CIRCUIT
Owner Applicant Contractor
RICHARD N JACKSON RACHEL HANSON MERIDIAN CENTER ELECTRIC INC
CONNIE S JACKSON MERIDIAN CENTER ELECTRIC MERIDCE318SG(2/28/17)
3813 SW 331ST ST 11109 66TH AVE E 11109 66TH AVE E
FEDERAL WAY WA PUYALLUP WA 98373 PUYALLUP WA 98373
98023-2637
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 1
PERMIT EXPIRES Sunday, January 31, 2016
Permit Issued on Tuesday,August 4, 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 Ci • -deral Way.
Owner or agent: , Date:
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THIS CARD IS TO IN ON-SITE
•
CITY of Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-103840-00-EL Address: 3813 SW 331ST ST
Project: RICHARD N JACKSON FEDERAL WAY, WA 98023-2637
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
BO-- Date e /J/
0 Rough Electrical CI Final Electrical9 Right of Way
Approved Approved Approved
By Date By Date By Date