13-104174City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: EXPRESS TOWING
Project Address: 1215 S 356TH ST
Project Description: Install new meter on trailer
Electrical
Permit #: 13 -104174 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 292104 9036
Owner
Applican
Contractor
MOSIER FAMILY TRUST
SPARKEY'S ELECTRIC LLC
SPARKEY'S ELECTRIC LLC
1225 S 356TH ST
6826 20TH ST E
SPARKEL954RH (12/11/13)
FEDERAL WAY WA 98003
FIFE WA 98424
6826 20TH ST E
FIFE WA 98424
Additional, Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Is Use Educational or Institutional? ....................... No
No Fixtures Associated With This Permit it
PERMIT EXPIRES Wednesday, March 19, 2014
Permit Issued on Friday, September 20, 2013
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 t ity of Federal Way.
Owner or agent: a, Date: �"` Z 0
THIS CARD IS TO*MAIN ON-SITE
CITY OF low Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -104174 -00 -EL Address: 1215 S 356TH ST
Project: MOSIER FAMILY TRUST FEDERAL WAY, WA 98003-7401
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.
Feeders/Sub-panels (4045)Final - Electrical (4055)
Approved Approved
By Date By W Date al 13 0 1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RECEIVE®
CITY OF SEPA 2013
Federal Way
CITY OF FEDERAL WAY
r �l CDS
PERMrr NUMBER
ELECTRICAL
PERMIT APPLICATION
00
SITE ADDRESS:
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
-
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
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PRIMARY PHONE
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MAILING AD RESS
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CITYY
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FAX
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NAME
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PRPHONE
ING ADDRESS
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E-MAIL
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ELECTRICAL
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CONTRACTOR
CITY
STATE
ZIP
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WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
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PRIMARY P"oNz
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APPLICANT
MAILING ADDRESS
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FAX
PROJECT CONTACT
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PRIMARY PHONE
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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, i cluding its officers and employees, upon the accuracy of the
information supplied to the city apart of this application. 7
SIGNATURE: �— DATE �— C v /J / /
PRINT NAME: �'e S ✓� /`
Bulletin # 160 — January 1, 2013 Page t of 2 k:\Handouts\Electrical Permit Application
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