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15-100994 • • Electrical City of Federal Way Community&Econ.Dev.Services I LitPermit #: 15-100994-00-EL 33325 8th Ave S �" Federal Way,WA 98003 ' Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 P q Project Name: LANG Project Address: 31203 2ND AVE SW Parcel Number: 555750 0010 Project Description: Adding/altering(1)circuit for bathroom to relocate junction box in ceiling of basement Owner Applicant Contractor DONALD B LANG R&R ELECTRICAL SERVICES LLC R&R ELECTRICAL SERVICES LLC CHERILYN R LANG 25644 30TH AVE S RRELERE870MK(7/12/15) 31203 2ND AVE SW KENT WA 98032 25644 30TH AVE S FEDERAL WAY WA KENT WA 98032 98023-4616 • Additional Permit Information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 1 PERMIT EXPIRES Sunday, August 30, 2015 Permit Issued on Tuesday, March 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 C(N )--)*.t. nd the City of Federal Way. Owner or agent: ,, \\, Date: A (..) 3 �j w 3 03', '4kt; • THIS CARD IS TO AIN ON-SITE CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 15-100994-00-EL Address: 31203 2ND AVE SW Project: DONALD B LANG FEDERAL WAY, WA 98023-4616 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. O UFER Ground (4295) ❑ Ditch cover(4030) ❑ 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) ' 14Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By ., DateBy Date O Final-Electrical(4055) Approved By a.„,,,, _. Date ')--rc1��S ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date III CITY OF EL CTRICAL Federal Way PERMIT APPLICATION , r� q Ream) t PERMIT NUMBER / 5 - t o v L 4- 0 0 - - - - MAR 032015 SITE ADDRESS: C irtt JCKAL WAY 'c)-O3 ar& V\w2 5\ J -kc :(-Q.) \ CDS PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE S 5 o --Q)" 5 5 S 50 - o o l O PROJECT NAME (Tenant or Homeowner Last Name) '_._ �',‘") PROJECT DESCRIPTION It-`O(-Ove- 3\NJ' \\Of" C Or- \ C,..`r\-rc -"Thi( Qi \o� .- Detailed description of work to j� L \ ��k, \ ' c P'\\ � c.,,.t YY,,-`r \ be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER \_ PA:- C/' ) - MAILING ADDRES E-MAIL • CITY STATE ZIP FAX NAME PRIMARY PHONE ca, %'-Z 7 \Lc \r:c t. 1\cA, c\I 11 LL-(- i'A, )37)1 - RLVo1 MAILING ADDRESS E-MAIL ELECTRICALc.ap 4..._\ S.--yr ( S • CONTRACTOR CITY STATE ZIP FAX .\ �o3D ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# C&-r0 Qt. (-n mK . ) /la- /d315 \ . \ 3 -03L- 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 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 oft 's application. 77 SIGNATURE: TWA' DATE J 1 3 I '�A PRINT NAME: QUO c `C—A \\ ,k Z c Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application