15-101545 • • • • Electrical
City of Federal Way Permit #: 15-101545-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 pe Q (253)835-3050
Project Name: PEDERSON
Project Address: 37326 19TH PLS Parcel Number: 721265 0450
Project Description: 30 amp circuit for HVAC
Owner Applicant Contractor
MICHELLE L PEDERSON PATTY FULLER FULLER ELECTRIC(ELECTRICAL)
37326 19TH PL S FULLER ELECTRIC INC FULLEEI027BK(1/12/16)
FEDERAL WAY WA 98003-7576 1220 S 356TH ST SUITE A-5 37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application Yes Is Use Educational or Institutional' No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Monday, September 28, 2015
Permit Issued on Wednesday,April 1, 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:
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• THIS CARD IS TO IN ON-SITE ` -,
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-101545-00-EL Address: 37326 19TH PL S
Project: MICHELLE L PEDERSON FEDERAL WAY, WA 98003-7576
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) Ei Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) E Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By 1,445 Date 4.1-) 11s-- ,
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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