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13-105580 i t III A N rr`_ • Electrical City of Federal Way u Community&Econ.Dev.Services ''` '' Permit #: 13-105580-00-EL • 33325 8th Ave S Federal Way,wA3 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)53) ecq 835-2609 p Project Name: DITTMAR 1)71Q t© Project Address: 2665 SW 332ND CT Parcel Number: 894430 0380 Project Description: Replace 125 amp panel Owner Applicant Contractor MAGDALENA DITTMAR PALMORE ELECTRIC PALMORE ELECTRIC 2665 SW 332ND CT 9832 NE 130TH PL PALMOE*931DE(5/8/15) FEDERAL WAY WA 98023-2761 KIRKLAND WA 98034 9832 NE 130TH PL KIRKLAND WA 98034 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 PERMIT EXPIRES Saturday, June 14, 2014 Permit Issued on Monday, December 16, 2013 I hereby certify that theove'.formation is correct and that the construction on the above described property and the occupancy and t se - n ac •rdance with the laws, rules and regulations of the State of Washington ralp and the City of Federal Way. Owner or agent: No;� ,►` 4% Date: /2//L/is -1, \ ,i(4 Y �� ........_____________ THIS CARD IS TO MAIN ON-SITE CITY OF -AL. ' > CITYOF Federal Way • Construction In ection Record INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-105580-00-EL Address: 2665 SW 332ND CT Project: MAGDALENA DITTMAR FEDERAL WAY, WA 98023-2761 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. O UFER Ground(4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date . . . , o Pool Bonding(4195) 0 Temporary Power(4275) E Service(4235) Approved Approved Approved By Date By Date By Date o Feeders/Sub-panels(4045) CI Rough Electrical(4225) El Ceiling Cover(4020) , Approved Approved Approved By Date By Date By Date O Final-Electrical(4055) Approved By Date 1 ( p ( (t1 o Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date IllfECEIVED . CITY OF DEC 16 2013 ELECTRICAL . Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION / CDS PERmrr NUMBER / 3 _ / Oo _ SUITE/UNIT/SPACE# SITE ADDRESS: )(.0 /2 5 $' .3.5,44." PROJECT VALUATION l(/ ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ ',zoo. S O - PROJECT NAME (Tenant or Homeowner Last Name) OAA C*15 t E �7 i T T # ►1 e t, gp e- 123 Pttpld PROJECT DESCRIPTION Ci Detailed description of work to be included on this permit only NAME • PRIMARY PHONE PROPERTY OWNER WV q a,(fi 1 E it-1-4,Nik g ( aoC) (097=JW' MAILING ADDRESS E-MAIL ,V6(off' SC) 3 3a t.-r, CITY STATE ZIP FAX t�e rind UO ( • ( ), PHONE - NAMEOaA h(lC P� �G (A940) PRIMARY-6714/o MAI/ING ADDRESS MAIL I ELECTRICAL � Qjyj + CONTRACTOR crrY ��~Lcoll `ST 1 / Q' 0/� �" t tI FAX WA ST TE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# N PRIMARY PHONE APPLICANT a��� ( _ ING ADDRESSFAR CITY STATE ZIP C- NAM ) - _ - PROJECT CONTACT j „ n PRIMARY PHONE Mme_ IVIC(tel { ) 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 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 such cla arises out of theliance of the city, including its officers and employees, upon the accuracy of the information s�to _ e citg as-a part ofthis application. SIGNATURE: DATE p2/f6//S PRINT NAME: /11;i4k6 Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application