18-102287City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253)835-2609 FILE
Project Name: KELLY
Project Address: 2257 S 298TH ST
Project Description: PANEL UPGRADE -125 AMP
Electrical
Permit #:18 -102287 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 768380 0220
Owner
Applicant
Contractor
L A KELLY
M W ELECTRIC INC
M W ELECTRIC INC
2257 S 298TH ST
11014 19TH AVE SE
MWELEEI845132 (1/22/20)
FEDERAL WAY WA 98003-4216
EVERETT WA 98208
11014 19TH AVE SE
USA
EVERETT WA 98208
USA
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
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it a ,fir - e nib/:'€� LHI_-s
Alt. Serv./Feeder:
1 to 200 .
PERMIT EXPIRES Wednesday, 29 May, 2019
Permit Issued on Tuesday, May 29, 2018
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 nd the City of Federal Way.
Owner oragent: P '��';&v -- Date: V76
V�> 0- >L.
THIS CARD IS TO REMAIN ON-SITE
CWT or Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102287 00 Address: 2257 S 298TH ST
Project: L A KELLY FEDERAL WAY WA 98003-4216
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 of the back of this card.
®
UFER Ground (4295)
0
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
..Final Electrical..
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
..Final Electrical..
Approved
Approved
Approved
By
Date
By
Date
By
Date
®
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
..Final Electrical..
Approved
Approved
Approved
By
Date
By
Date
By
Date
1 O Final - Electrical (4055)
Approved
By Date
❑
Right of Way
Rough Electrical
..Final Electrical..
Approved
Approved
Approved
By
Date
By
Date.......
By
- Date
CITY OF A %%AB
Federal Way MAy Z 9
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ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER I 3_ ( 0 2 2 E 7_ o c)
SITE ADDRESS: 2Zj j, Z�1 S �- ✓f es t,�.,. L -16A 11�02
SUITE/UNIT/SPACE #
ye
PROJECT VALUATION
�j2
ASSESSOR'S TAX/PARC E� � � � � � �
7y 8
CURRENT/PROPOSED USE
$ mo
-
PROJECT NAME
II
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME )® I
G �-°1
PRIMARY PHONE
(�j�C�) 3 1/5 0
PROPERTY OWNER
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MAILING ADDRESS l
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E-MAIL
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CITY
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STATE
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ZIP
FAX
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PRIMARY PHONE
MAILING ADDRESS
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ELECTRICAL
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CONTRACTORISi�Y
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
6e C�T
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
( )
PROJECT CONTACT
NAME1
PRIMARY PHONE
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 c arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t the ty as a part of this application.
7 I
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SIGNATURE: DATE
PRINT NAME:
Bulletin # 160 -April 14, 2016 Page 1 of 1 kMandoutsTlectrical Permit Application