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18-100725 Elec1 'ieal City Federal Way Permit #:18-100725-00-EL Community y Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: ACCURATE CHIROPRACTIC Project Address: 34512 16TH AVE S Parcel Number:250090 0050 Project Description: Electrical connection for illuminated channel letter signage. Owner Applicant Contractor FEDWAY MARKETPLACE WEST LLC(C/O FEDERAL WAY SIGN LLC(GENERAL 01) POITRAS SIGN&LIGHTING MJ KLEIN) 34205 18TH PL S (ELECTRICAL 04) 30300 AGOURA RD SUITE 270 FEDERAL WAY WA 98003 POITRSL881LG(6/7/18) AGOURA HILLS CA 91301 8515 189TH AVE SE SNOHOMISH WA 98290 - Additional Permit Information Is this an Online or O.T.C.application? Yes - /� �'S�d e.. ,� uY'':.'.. u/ 1 ✓ i ✓Fss 5 ;..;u°s F'' S✓ �' C € W`Rf,' ✓' „q � S EE 1, � d✓✓ "��`+ t.�jj✓��. � ,"�'/. fr2.i������.Y l � ��� .��'� 'ka E�j_f t .��r, p:fin ✓ (�F a � s € i � ✓F� / � : d � r i @�' it ✓ ,t�,�.�hNss,.!�`, 4�,h �fir:,�'i,;» .���'€ ,,,.L,,. i �t;i;�L„€:[`.k;...� ✓��. �S'�, e � ,: � � A �(' Sign 1 «ae✓v�ro„ ,,, �, , b�f l�s,,,,,�at%,�„i� ,�� ����"��f �/ PERMIT EXPIRES Thursday, 14 February,2019 Permit Issued on Wednesday,February 14,2018 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 shington and the City of Federal Way. Owner or agent: Date: L-- THIS CARD IS TO REMAIN ON-SITE art*0 Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 100725 00 Address: 34512 16TH AVE S Unit C Project: FEDWAY MARKETPLACE WEST I 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. ti UFER Ground(4295) 'Q Ditch cover(4030) „El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date 1 By Date By Date ® Pool Bonding(4195) ; 0 Temporary Power(4275) ® Service(4235) Approved i Approved Approved By Date By Date By Date ,El Feeders/Sub-panels(4045) ,'0 Rough Electrical(4225) •® Ceiling Cover(4020) , Approved Approved • Approved By Date ABy Date By Date El Final-Electrical(4055) Approved For CC Date . (4 El Rough Electrical El Final Electrical ❑ Right of Way Approved Approved Approved By Date By Date By Date A. RECEIVED CITY OF �$ ELECTRICAL Federal Way FEB 14 20 Y PERMIT APPLICATION 0111 of )EvEto?mENT PERMIT NUMBER 1 S _ ( 0 0 7 Z5 _ E SITE ADDRESS: 3 L/ 5/ 2 / CoF/, /1,1 J.0 G SUITE/UNIT/SPACE# PROJECT VALUATION ✓ ASSESSOR'S`TAX/PARCEL#�J 1 f _f CURRENT/PROPOSED USE $ (ZC) L 5 0 O 9 0 _ C) 0 5 cD PROJECT NAME (Tenant or Homeowner Last Name) & QeLL° -irLot PROJECT DESCRIPTION 'Et • ` ' — L5L-0- Detailed description of work to be included on this permit only NAME j PRIMARY PHONE PROPERTY OWNER 1 -'d a- ,3C,_ LQ ( ) - MAILING ADDRESS E-MAIL D3cc' oQ a. Q ' CITY STATE ZIP FAX 171c. N E 8sPRIMARY PHONE ��5^` V `"'" �' H)24,:,,L_c: (4-2-\--)- ((-1--- oc, 1 MAILING ADDRESS U E-MAIL ELECTRICAL (( g Gk-t'-- - b CONTRACTOR CITxr, STATE ZIP FAX CIT , tA)� Ct. Ik mac ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# PpC rYN L- g 1L� / / NAMv_oe n _ PRIMARY PHONE APPLICANT W u_c_____ (22-6)S 2Q'k- ?,©( ( MAILING ADDRESS 1 E-MAIL CITY _ STATE ZIP FAX ��t�lfr X11 `� Qp ( ) NAMEPRIMARY PHONE PROJECT CONTACT (LA•6 ( ) 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 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 this application. SIGNATURE: DATE PRINT NAME: b k L0`t m e(i-ut-c� Bulletin#160-April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application