14-104642F �
a
A n�
Contractor
MUSIN AN
City of Federal Way
NW ELECTRIC SERVICES INC
Community &Econ. Dev. Services
32419 3RD AVE SW
33325 8th Ave S
FILE
Federal Way, WA 98003
32419 3RD AVE SW
Ph: (253) 835-2607 Fax: (253) 835-2609
0
Electrical
Permit #: 14-104642-00=EL
Inspection Request Line: (253) 835-3050
Project Name: AN
Project Address: 823 S 314TH ST
Project Description: 200 amp panel changeout
Parcel Number: 082104 9191
Owner
A n�
Contractor
MUSIN AN
NW ELECTRIC SERVICES INC
NW ELECTRIC SERVICES INC
824 S 314TH ST
32419 3RD AVE SW
NWELEES925DL (3/27/16)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98023
32419 3RD AVE SW
FEDERAL WAY WA 98023
Is this an Online or O.T.C. application?.................Yes
Electrical Nitures'.
Alt. Serv./Feeder: 0 to 200 amps 0 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Monday, March 9, 2015
Permit Issued on Wednesday, September 10, 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
and the City of Federal Way.
Owner or agent: O Date: 0 / l —0/ ,�C—
THIS CARD IS TO�IN ON-SITE
CITY OF ♦ 40 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 14 -104642 -00 -EL Address: 823 S 314TH ST
Project: MUSIN AN FEDERAL WAY, WA 98003-5318
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.
Final - Electrical (4055)
Approved
By Date
LIFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Approved
Temporary Power (4275)
Date ..
Approved
Right of Way
Approved
By
Approved
By
Date
By
By
Date
Date
Feeders/Sub-panels (4045)
E]
Rough Electrical (4225)
Approved
Approved
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
❑
Service (4235)
Approved
By
Date ..
Right of Way
Approved
By
Ceiling Cover (4020)
Approved
By
Date
❑
Rough Electrical
Approved
❑
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
EL C'TRICAL - "
clry of
Federal Way PERMIT APP 11W
PERMIT NUMBER 4
_ _ .-- SEP 10 2014
CITY OF FEDERAL WAY
SITE ADDRESS: ?Z3 � I `� � A J5_� �ek 4 � � 3
SUITE/ UiII2tL3�PACE #
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PROJECT VALUATION
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(Ind
ASSESSOR'S TAX/PARCEL #� �
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CURRENT/PROPOSED USE
-
PROJECT NAME
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(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
A 5'4
PRIMARY PHONE
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PROPERTY OWNER
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MAILING ADDRESS j
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NAME
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PRIMARY PHONE
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MAILING ADDRESS
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E-MAIL
ELECTRICAL
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STATE
ZIP
FAX
CONTRACTOR
WX STATE CONTRACTOR'S L#ENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
1vto &L 6s
NAME J
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PRIMARY PHONE
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APPLICANT
MAILING ADDRESS y
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PROJECT CONTACT
NAME
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PRIMARY PHONE
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 Ioca4 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 tot ity as a rt of this application.
SIGNATURE:
W,14009
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
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