15-104225 doh
• . . Electrical
City of Federal WayFILE
Permit #: 15-104225-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,Fax
98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609._
Project Name: ATI PHYSICAL THERAPY
Project Address: 32030 23RD AVE S Parcel Number: 162104 9028
Project Description: Change out 100 amp panel
Owner Applicant Contractor
FW TOWNE SQUARE LLC PATTY FULLER FULLER ELECTRIC(ELECTRICAL)
PO BOX 98922 FULLER ELECTRIC INC FULLEEI027BK(1/12/16)
TACOMA WA 98498-0922 1220 S 356TH ST SUITE A-5 37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional') No
Service greater than 999 Amps? No
Electrical Fixtures
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Wednesday, February 17, 2016
Permit Issued on Friday,August 21, 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: F'J L I N E Date:
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THIS CARD IS TO ON-SITE
CITY
OFConstruction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-104225-00-EL Address: 32030 23RD AVE S
Project: FW TOWNE SQUARE LLC 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.
0 UFER Ground (4295) Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
By� , y Date $_� r ��•
Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date