11-100978s
fp Llectrical
City of Federal Way x
Community Development Services Permit #: 11-100978-00-E L
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 , Inspection Request Line: (253) 835-3050
Project Name: JACKSON
Project Address: 29219 3RD AVE SW Parcel Number: 119600 0664
Project Description: remodel existing laundry room to include bathroom for elderly mother
Is Use Educational or Institutional?.......................No
Circuits - Residential ...................... 4
PERMIT EXPIRES Saturday, March 10, 2012
Permit Issued on Friday, March 11, 2011
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy andth wilt be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
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Owner or agent: Date: ! <
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caner
Applicant
Contractor
JAMES & JEWEL JACKSON
JEWEL JACKSON
()
29219 3RD AVE SW
29219 SW 3RD AVE
29219 SW 3RD AVE
FEDERAL WAY WA 98023
FEDERAL WAY WA 98423
FEDERAL WAY WA 98423
Is Use Educational or Institutional?.......................No
Circuits - Residential ...................... 4
PERMIT EXPIRES Saturday, March 10, 2012
Permit Issued on Friday, March 11, 2011
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy andth wilt be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
se
Owner or agent: Date: ! <
-� ;�� 4 /to/1L
THIS CARD IS TO REMAIN ON-SITE r�
CITY OF 0 60instruction I1 ection Record
Federal Wil INSPECTION RE UESTS: 253 835-3050
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PERMIT #: 11 -100978 -00 -EL Address: 29219 3RD AVE SW
Project: JAMES & JEWEL JACKSON FEDERAL WAY, WA 98023-3529
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 Final - Electrical (4055)
Approved
By Date tA`
EJ
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
El Final - Electrical (4055)
Approved
By Date tA`
EJ
Pool Bonding (4195)
E]
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
E]
Rough Electrical (4225)
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
EDate'
��z-,' /
By
Date
El Final - Electrical (4055)
Approved
By Date tA`
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date