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16-100687Electrical unity & Federalnev. S Permit #':'I 6-100687-00-E L Community &Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 FILE Project Name: BURGET . Project Address: 123 S 340TH ST Unit F Parcel Number: 325945 0180 Project Description:' Ikeplace existing breaker panel with a new 125 AMP lireaker panel. Owner Ag Iia cant Contractor NICOLE A BURGET BRIAN FISHER WILDCAT ELECTRICAL SERVICE INC 123 S 340TH ST UNIT F WILDCAT ELECTRICAL SERVICE INC WILDCES999BA (1/3/17) FEDERAL WAY WA 98003-6614 PO BOX 88577 PO BOX 88577 STEILACOOM WA 98388 STEILACOOM WA 98388 Additional Permit Information Electrical Work Valuation?....................................1100 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 Saturday, February 4, 2017 Permit Issued on Friday, February 5, 2016 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: Date: �� CITY OF "LA Feder6l Allay PERMIT #: Project: • THIS CARD IS TO REMAIN ON-SITE Construction Ins tion Record INSPECTION REQUESTS: (253) 835-3050 16 -100687 -00 -EL Address: 123 S 340TH ST Unit F NICOLE A BURGET FEDERAL WAY, WA 98003-6614 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) Temporary Power (4275) Slab/Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date ` 1 El Rough Electrical Approved ❑ Temporary Power (4275) Service (4235) By Pool Bonding (4195) Approved Date Approved Date Approved By Date By Date By Date ❑ 0 Ceiling Cover (4020) Rough Electrical (4225) Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date Final - Electrical (4055) Approved By Date ` 1 El Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date 0 RECEIVED 0 R ELECTRICAL clrY of • Federal Way FEB 05 2016 PERMIT APPLICA'T`ION %� CTT,X.,OF FEDD�E'RAL WAY PERMIT NUMBER _ V (—� SITE ADDRESS: l i Z� �5 5LA OAA 4- SUITE/UN�SPACE # PROJECT VALUATION $ 1100 ASSESSOR'S TAX/PARCEL # _a -2- 5 c1 CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) "J PROJECT DESCRIPTION /ate '0 ry0`'k4,r 1pa--Ld Detailed description of work to be included on this permit only PROPERTY OWNER NAME �� U 1`fb ,&.e-+ PRIMARY PHONE (2,5 $3$ - >ZO 1 MAILING ADDRESS 12,3 S. 3'Vo L94/t E-MAIL CITY r4-k-1-eL LV'o- STATE LU4 I ZIP 9 9,003 FAX ( ) - NAME / /dcu-� ale nc� l RC1 vr�c� PRIMARYPHONE (253) S8 q_- MAILING ADDRESS ��• rc9 8g.�`% E-MAIL w��cicotc%cfi`it egcohcas� ELECTRICAL CITY ,SA,,&co v n, STATE tVA ZIP 593W_0_5-77 FAX ( ) - CONTRACTOR WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE W1L©C�S 201 FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE MAILING ADDRESS x,� � � � � E-MAIL CITY S Z, k C�_C.0 ivL STATE aA ZIP 01 x'38 FAX ( ) - PROJECT CONTACT NAME �/�s1.r PRIMARY PHONE (25) C .T - SF./ ca 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 apart of this application. SIGNATURE: DATE 2-5-1-(, PRINT NAME: Bulletin # 160 —January 1, 2013 Page I of 2 k:\Handouts\Electrical Permit Application