11-100540 •
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City of Federal Way
Community Development Services Permit #: 11 -100540-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph ns(253)835-2607 Fax (253)835-2609 p q
Project Name: PRECISION COLLISION AUTO BODY
Project Address: 1908 S 341ST PL Suite 1 Parcel Number: 390380 0070
Project Description: Adding 2 circuits for new paint booth.
Owner Applicant Contractor
SCOTT&CHRISTY HENSRUDE ACT ON ELECTRIC ACT ON ELECTRIC
5505 EVERGREEN WAY PO BOX 2118 ACTEL**311LE 12/31/2011
EVERETT,WA 98203 LYNNWOOD WA 98036 PO BOX 2118
LYNNWOOD WA 98036
} - Additional Permit Information '4
Is Use Educational or Institutional? No Service greater than 999 Amps? No
''d
Circuits-Commercial 2
PERMIT EXPIRES Thursday, February 9, 2012
Permit Issued on Wednesday, February 9, 2011
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 b• in/ac ance With the laws, rules and regulations of the State of Washington
f;1 City of Federal Way. 1
Owner or agent: I l• Date: r /� 5 /
`—' ' - ' -c- .YNeg-ILDI 00/
THIS CARD IS TO RE AIN ON-SITE
CITY OF
0 Construction Ins tion Record 5 �,
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-100540-00-EL Address: 1908 S 341ST PL Suite 1
Project: SCOTT & CHRISTY HENSRUDE 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 Rough Electrical (4225) El Final-Electrical(4055)
Approved Approved
By Date By Date ar0.--1
Rough Electrical ❑ Final Electrical Right of Way
Approved Approved [11 Approved
By Date By Date By Date
cm of — l `
Federal Way ELECTRICAL
rEt3 ° y P gMIT APPLICATION
�-� CSF FED
ERAL R`
**Most electrical permits may be obtained on-line at www.cityoffederalway.corn**
PROPERTY INFORMATION
SITE ADDRESS: l 9( 15'0 v 7---J- /
SUITE/UNIT/SPACE# / ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name)
Pterici S /67,At La 0 LC i C)/C
PROJECT DESCRIPTION 1///4 1 HOD tJL,4' ' Y7f/f f" /X0o%f� u r F' Cu',C',,e)
Detailed description of work to
be included on this permit only 1 /��� (" Ll(,�1f j/i 6 ('(f'0✓r;—
PEOPLE PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
Adv cIt' ,'5 ji'tC ( 2c 71( , ?y6
MAILING ADDRESS E-MAIL
ELECTRICAL F, , / ' $ 2771-
CONTRACTOR
/71-
CONTRACTOR CITY STATE ZIP FAX
L,y ivy G(---0-6)C.) moi( y()>-e ) 7y 3 39
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
f 3%/L.r ')/3i 1 (2--
NAME PRIMARY PHONE
APPLICANTd-rr ( )
MAILING ADDRESS /0 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 local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to arty 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 arcs, out of the re ance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci as • of thi application.
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SIQNATURE: !�
DATE ( /-()
PRINT NAME: -4 0(-t 1 A 3 C I/ /l�
33325 8i°Avenue South•PO Box 9718•Federal Way•WA•98063-9718♦253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application