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15-100358y City of Federal way Community & Eoon. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2807 Fax: (253) 835-2809 Project Name: AUTOZONE FILE Project Address: 33510 21ST AVE SW Project Description: Replacing (18) florescent light bulbs with LEDs r .Efectrical Permit #: 15 -100358 -00 -EL Inspection Request Line: (253) 835-3050 ;W;io Parcel Number: 132103 9100 Owner AUTOZONE #1166 RIicant HARVEST ELECTRIC CO OF CA INC Contractor HARVEST ELECTRIC CO OF CA INC PO BOX 2198 PO BOX 604 HARVEEC855BW (1/16/17) MEMPHIS,'IN 38101 ST HELENA CA 94574 PO BOX 604 ST HELENA CA 94574 Additional Permit Information Is this an Online or O.T.C. application? ................. es Service greater than 999 Amps? .............................No Electrical F'aclWres Circuits - Commercial. ................... 4 Is Use Educational or Institutional?.......................No PERMIT EXPIRES Wednesday, July 22, 2015 Permit Issued on Friday, January 23, 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 iH- accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: Feeders/Sub-panels (4045) Approved By Date 11 Final - Electrical (4055) Approved By Date 3 b 1S Rough Electrical (4225) Approved By Date Ceiling Cover (4020) Approved By Date THIS CARD IS TMAIN ON-SITE CITY OF Federal Way Construction In ection Record INSPECTION REQ TS: (253) 835-3050 PERMIT #: 15 -100358 -00 -EL Address: 33510 21ST AVE SW Project: AUTOZONE #1166 FEDERAL WAY, WA 98023-2874 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. 0 LIFER Ground (4295)Ditch11 Approved Date cover ( 30) Approved Slab/Concrete Floor (4255) Approved to place concrete By Date By Date By Date 0 Pool Bonding (4195) Approved Temporary Power (4275) Approved Service (4235) Approved By Date By Date By Date Feeders/Sub-panels (4045) Approved By Date 11 Final - Electrical (4055) Approved By Date 3 b 1S Rough Electrical (4225) Approved By Date Ceiling Cover (4020) Approved By Date Rough Electrical Approved Final Electrical Approved 11 Right of Way Approved By Date By Date By Date 0 AE CTRICAL CITY OF Federal Way PERMIT APPj&&TION PERMIT NUMBER I �;- _ 10 O .: _ 00 JAN 2 3 2015 rTTY nF FEDERAL WAY SITE ADDRESS: 6 6 SUITE/ PACE # PROJECT VALUATION_ $ /V ASSESSORAX/PAR�L# © CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) ,9 ie PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME Z v e PRIMARY PHONE ( ) - MAILING ADDRESS 33Y/D hit Sy" E-MAIL CITY `STATE ZIP FAX ELECTRICAL CONTRACTOR %NjkME / V e I L/ G C—Tn v (76 P Y HO 3 7� IN Loy - E-MAIL c / I c AT z ( ) FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME✓ ' nn Fin (w) P PH�� 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), whic ay ;made by any person, including the undersigned, and filed against the city, but only where such clai ses out of the r ianc of the city, including its officers and employees, upon the accuracy of the information supplied to t e a of thi ap 'on. SIGNATURE: DATE C PRINT NAME: Al t /` l // I'/ (? Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\3andouts\Electrical Permit Application