14-103142 r'
• 0 Electrical
City of Federal Way
Community&Econ.Dev.Services Ir Permit #: 14-103142-00-EL
33325 8th Ave S 6, --
F I l' &We
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SKARE
Project Address: 2102 S 279TH PL Parcel Number: 757562 0250
Project Description: Meter repair
Owner Applicant Contractor
MERLE SKARE MIKE WILLIAMS C&W ELECTRIC LLC
KAY M SKARE C&W ELECTRIC LLC CWELEL*990CF(2/9/15)
2102 S 279TH PL 312 ANTONIE AVE N PO BOX 127
FEDERAL WAY WA 98003-6956 EATONVILLE WA 98328 EATONVILLE WA 98328
Additional Permit Information
Is this an Online or O.T.C.application9 Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Mast or Meter Repair(Residential 1
PERMIT EXPIRES Wednesday, December 24, 2014
Permit Issued on Friday, June 27, 2014
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
a • the -of Federal Way.
f 'd`- '' : / 'cif
Owner or agent / ,� ! / ,, Date:
THIS CARD IS TO MAIN ON-SITE ..
CITY OF ' 14/II**N+0.0. Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 14-103142-00-EL Address: 2102 S 279TH PL
Project: MERLE SKARE FEDERAL WAY, WA 98003-6956
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.
❑ UFER Ground (4295) - "❑ Ditch cover(4030) 0 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
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) .❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By 0 .\t,.--, Date rt_i 1--
❑ Rough Electrical Final ElectricalIll Right of Way
Approved1:1 Approved Approved
By Date By Date By Date
E� TRI
C CA
CITY OF '
Federal Way PERMIT APVIAGATION
PERMIT NUMBER ( 4 _ n ✓ ( 2 JUN 2 7 2014
CITY OF FEDERAL WAY
SUI'I2[Sfi T/SPACE#
SITE ADDRESS: t9/
PROJECT VALUATION ASSESSOR'STAX/PARC O CURRENT/PROPOSED USE
/>y
PROJECT NAME S L
(Tenant or Homeowner Last Name)
1,n-elle
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER $' C 4€ ( ) -
MAILING ADDRESS E-MAIL
CITY ,/� STATE ZIP FAX
L-7&''1 , G` ) -
NAME PRIMARY PHONE
'(te LL ( ) -
MAI ING ADDRESS E-MAIL
ELECTRICAL P � r Z 7
CONTRACTOR CITY TAT ZIP FAX
7;7,4'/O/ti-'/ . /7- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 Iocal, 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 oft is application.
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SIGNATURE: / - r _._= DATE �'1,'
2 ?.J
PRINT NAME:/...)� L P C/ ; ///7G'
Bulletin#160 January 1,2013 Page 1 of 2 k:\Iandouts\Electrical Permit pplication