14-101750City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
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FILL
Project Name: CASCADE MEMORIAL
Project Address: 1109 S 348TH ST Suite A
Project Description: Instal wiring for new tenant
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Electrical
Permit #: 14 -101750 -00 -EL
Inspection Request Line: (253) 8354050
Parcel Number: 202104 9042
Ownr
ARRIlican
Contractor
EVERGREEN-WASHELLI
LINDA MCCUBBIN
NORTHLAND ELECTRIC INC
11220 AURORA AVE N
NORTHLAND ELECTRIC INC
NORTHEI21879 (3/31/15)
SEATTLE WA 98133
4314 103RD AVE SE
PO BOX 2080
LAKE STEVENS WA 98258
SNOHOMISH WA 98291
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Futures
Circuits - CommerciaL................... 10 Low Voltage - Other (Commercial; 3 Sign ................................................ 1
PERMIT EXPIRES Tuesday, October 14, 2014
Permit Issued on Thursday, April 17, 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 tfie laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
FINALED,
CITY OF 4Z'N*#ftN
Federal Way
PERMIT #:
Project:
T ,
. THIS CARD IS TOON-SITE
Construction Inrection Record
INSPECTION REQU3) 835-3050
14 -101750 -00 -EL Address: 1109 S 348TH ST Suite A
EVERGREEN-WASHELLI 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
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
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Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
Temporary Power (4275)
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Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date 0�;7
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(.�
By
V4 Date L (�
El
Final - Electrical (4055)
Approved
By
Vis Date U 123 t
El
Rough Electrical
Approved
Final Electrical
Approved
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Right of Way —�
Approved
By
Date
By
Date
By
Date