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15-105572City & Federal Way Permit#: 15 -105572 -00 -EL Community Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: (263) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: KIBBE Project Address: 36921 5TH AVE SW Project Description: New electrical service to existing garage. Parcel Number: 218820 2175 Owner Auglicant Contractor LEE & CHARLEEN KIBBE LEE & CHARLEEN KIBBE OWNER IS CONTRACTOR 36921 5TH AVE S 36921 5TH AVE S FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 PERMIT EXPIRES Sunday, May 1, 2016 Permit Issued on Tuesday, November 3, 2015 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 ancLth City of Federal Way. Owner or agent: Date: • CITY OF 4;'&� Federal Wad PERMIT #: Project: THIS CARD IS TO RE ON-SITE Construction Insp ion Record INSPECTION REQUESTS: (253) 835-3050 15 -105572 -00 -EL LEE & CHARLEEN KIBBE Address: 36921 5TH AVE SW FEDERAL WAY, WA 98023-7346 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. Pool Bonding (4195) Approved By Date By Temporary Power (4275) Approved Date Approved Date l2 UFER Ground (4295)Ditch cover (4030) Rough Electrical (4225) Slab/Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date Pool Bonding (4195) Approved By Date By Temporary Power (4275) Approved Date Approved Date l2 Final - Electrical (4055) Approved B Date,Z Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) By Approved By Approved By Approved By Date By Date By Date Final - Electrical (4055) Approved B Date,Z Rough Electrical Approved Final Electrical Approved1:1 Right of Way Approved By Date By Date By Date RECEIVED NOV 0 3 2015 0" of Federal Wa CITY OF FEDERAL WAY Y CDS ELECTRICAL iijozu Ili iii ° ° PERMIT NUMBER / S _ / 6 S � ,)L— — �, v SITE ADDRESS: / S_�o �J SUITE/UNIT/SPACE# PROJECT VAALL)UATION 'er ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE PROJECT NAME , (Tenant or Homeowner Last Name) Q-4 i2 PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME I - A2 -e- PRIMARY PHONE (;;�t 13g;, - MAILING ADDRESS 36!� E-MAIL �vm CITY STATE e ell a 1N,b� ZIP FAR - NAME PRIMARY PHONE © 411&t (( ) MAILING ADDRESS E-MAIL ELECTRICAL CITY STATE ZIP FAX CONTRACTOR WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT © "� ) MAILING ADDRESS E-MAIL CITY STATE ZIP / FAR ) PROJECT CONTACT NAMEj Z_ -e - ` )/-Ie PRIMARYPHONE Ig 3 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 taws 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: PRINT �3- 45-7 Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application