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15-104461 Electrical City ofcWay Permit #: 15-104461-00-EL Community&Econ.on.Dev.Services 33325 8th Ave S • Federal Way,WA 98003 f¢ :a Ins ection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 '� E p q Project Name: PHILLIPS Project Address: 2241 S 298TH ST Parcel Number: 768380 0211 • Project Description: Replace electrical panel. Owner Applicant Contractor ALEX E PHILLIPS SELLARS ELECTRIC INC SELLARS ELECTRIC INC REBECCA PHILLIPS 29210 3RD AVE S SELLAEI963O4(9/24/16) 2241 S 298TH ST ROY WA 98580 29210 3RD AVE S FEDERAL WAY WA 98003 ROY WA 98580 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 Tuesday, March 1, 2016 Permit Issued on Thursday, September 3, 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 nd the City of Federal Way. Owner or agent: . Date: "t(-3 !5 dr , • THIS CARD IS TO REQ�ON-SITE - -- CITY OF -. Construction InsDdnion Record Federal Way INSPECTION REQUESTS: (253)835-3050 I PERMIT#: 15-104461-00-EL Address: 2241 S 298TH ST Project: ALEX E PHILLIPS FEDERAL WAY, WA 98003-4216 Scheduled inspections may be failed if this card is not on-site. DQ 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) - 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date •Pool Bonding(4195) El Temporary Power(4275) ❑ Service(4235) Approved Approved Approved Lily Date By Date )1(1 Date '❑ Feeders/Sub-panels(4045) ElRough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved By 1 7Date t_/ /r- I i C Rough Electrical `[—I Final Electrical � U I Right of Way Approved Approved Approved By Date B Date By Date RECEIVED • ELECTRICAL CITY OF SEP 03 2015 Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY CDS/ PERMIT NUMBER / S_ / (7/ Y. 6 W ((( vvv SUITE/UNIT/SPACE# SITE ADDRESS: Z Z tl( 5 Q-79 TA PROJECT VALUATION ASSESSOR'S TAX/PARCEL � � _ Q � / CURRENT/PROPOSED USE ©C> (X / JJJ PROJECT NAME (Tenant or Homeowner Last Name) 2-9 L L j i S PROJECT DESCRIPTION P/i'z�L— Li L f k rocL�`KL Detailed description of work to be included on this permit only NAME PRIMARY PHONE / V PROPERTY OWNER 4 / ti j LG, S (ack )5:57-/5e,61 MAILING ADDRESS E-MAIL 22•- 4-111- 5 C7-CIO �rl CITY STATE ZIP FAX (,-1X44-y NAME / PRIMARY PHONE SeL_ £ -i- S &C, P (2-i3 ).lam_?-.J) MAILING ADDRESS / E-MAIL ELECTRICAL ,2q62-10 3 '''- I v'( 5 e l tfrt`�-�i,� C•Hz5 CONTRACTOR CITY��` {1y/ STATE ZIP 22 FAX WA STATE CONTRACTOR'S LICENSE# 401,e- /�EXPIRATION DATE FEDERAL)WAYOY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT - ka 4Y-i d 6r ( 2 S5) 72C--- 7 2_33 MAILING ADDRESS E-MAIL .Z 1° � 11/. 564-A 564-4 CITY STATE ZIP FAX l2v y L9- f 'rte ( ) - NAME PRIMARY PHONE PROJECT CONTACT S'dLiAve5 ( �) 7 xc)-7 L3 �5' 3 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 of this application. SIGNATURE: --) DATE06'PRINT NAME�j L kii, `— Bulletin#160—January 1,2013 Page 1 of 2 k:\I landouts\Electrical Permit Application