14-100065 J r r • �
Electric I •
City of Federal Way Permit #: 14-100065-00-EL
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
i; Inspection Request Line: (253)835-3050
Ph:(253)835-2607 FaX (253)835-2609 C
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Project Name: GREENE
Project Address: 1312 S 372ND ST Parcel Number: 322104 9003
Project Description: Replace meter base per PSE's direction.
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Owner Applicant Contractor
JOE GREENE JOE GREENE OWNER IS CONTRACTOR
29811 1ST AVE S 29811 1ST AVE S No license#required
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
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Additional Permit Information
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Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Mast or Meter Repair(Residential/ 1
PERMIT EXPIRES Sunday, July 6, 2014
Permit Issued on Tuesday, January 7, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
the City of Federal Way.
Owner or agent: ��h_t,,,,art4K1
Date: 0 /— b 7 //-f-
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A
t e
1 . - THIS CARD IS TO MAIN ON-SITE A
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dn." OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-100065-00-EL Address: 1312 S 372ND ST
Project: JOE GREENE FEDERAL WAY, WA 98003-7502
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.
El UFER Ground(4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date
By Date .By Q vl Date k_-1y.41,\
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) Ei Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By Date ,1` ‘ Uv.-‘k.
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• RECO/ED ID • .
ACITY OF JAN 0 g 2014
ELECTRICAL
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
0 PERMIT NUMBER / C! — / u o /j ,(''- j
SUITE/UNIT/SPACE#
SITE ADDRESS: /3 f, __s eo 3 7 r1 N el
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PROJECT VALUATION ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE
$ (20, off 3 ,31, a I OV - 900 ,3
PROJECT NAME .
(Tenant or Homeowner Last Name) ,Y -._-e IV
4 ' 0 ‘ / 4Y Ze )Z._, /A-� ���.t/rt.Id
PROJECT DESCRIPTION 0 i '� ' - 4 x', ,/'`'y p�� i-^-04 r ,N-°4
Detailed description of work to (Of P , ' e
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER S S, ae 2 N Q (Q. -3) 'tt I /18 '. .'
MAILING ADDRESS E-MAIL
CITY yoSTATE ZIP FAX
---'i-e r cid (IU 11 �lio4 1 t�8 a3 ( ) -
NAME PRIMARY PHONE
ING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME
'A PRIMARY PHONE
0
APPLICANT UV A) ( r ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX _
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NAME PRIMARY PHONE
PROJECT CONTACT 0 vi
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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, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE: 4,1.,C ! � / �V "� DATE 0/s, i) 7 I
PRINT NAME: f S. C r,e-
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application