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18-105011City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 8352609 Project Name: NAUTILUS ELEMENTARY SCHOOL Project Address: 1000 S 289TH ST Project Description: Low voltage controls for boiler upgrade. Electrical Permit #:18 -105011 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 052104 9005 Owner Applicant Contractor MIKE BENZIENFEDERAL WAY PUBLIC TODD KAHLSTATIC ENERGY STATIC ENERGY INCORPORATED SCHOOLS INCORPORATED STATIEI872OZ (9/9/19) 33330 STH AVE S 7478 NE 146TH ST FEDERAL WAY WA 98003-5433 KENMORE WA 98028 7478 NE 146TH ST KENMORE WA 98028 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes �d "41; 9� g/ �E T rte, fir./ d.E hh „x,,, �f PERMIT EXPIRES Wednesday, 23 October, 2019 Permit Issued on Tuesday, October 23, 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 and the City of Federal Way. Owner or agent.' 'G�r� Z---9Date: oz 6/ • THIS CARD IS TO REMAIN ON-SITE .Or Construction Inspection Record Fecle1al Way INSPECTION REQUESTS: (253) 835-3050 PERNM #: 1810501100 Address: 1000 S 289TH ST Project: NaKE BENZIEN FEDERAL WAY WA 98003-3709 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. Q LIFER Ground (4295) 2 Ditch cover (4030) Q Slab/Concrete Floor (4255) Service (4235) Approved Approved Approved Approved Approved to place concrete By Date By Date By Date Q Pool Bonding (4195) 0 Temporary Power (4275) Final Electrical © Service (4235) Approved Approved Approved Approved Approved By Approved By Date By Date By Date Q Feeders/Sub-paneh (4045) ® Rough Electrical (4225) Final Electrical Ceiling Cover (4020) Approved Approved rBy Approved By Date By Date By Date �o Final - Electrical (4055) Approved By Date 1Yy Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY of Federal Way ELECTRICAL PERMIT APPLICATION PERMIT NUMBER I O _ ' V ✓ Q SITE ADDRESS: f 71 - SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAR/PARCEL # CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) �{ 1� o—v +, l Q 5 w V o aL PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME -e, j e.,,-- A S c.� oa S�nZ +' PRIMARY PHONE () �/ Z o o `, MAILING ADDRESS 3 3 33 E-MAIL CITY STATE wA- ZIP FAX NAME S T_0�T IZ �z ✓1 L n c , PRIMARY PHONE (Zab) `j 18j 9 q& I MAILING ADDRESS 147-q I tj & woad - Do Val Qn. P rnFS !44 + d d Kati 1 E-MAIL ELECTRICAL CONTRACTOR CITY STATE T ZIP FAR WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE ST^'r-C S 87z- 02 e7' /2d FEDERAL WAY BUSINESS LICENSE # zo APPLICANT NAME c� -A t PRIMARY PHONE ( ) NAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME ead k �� PRIMARY PHONE (20�) -1100- 'Sq i 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 1 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 a part of this application. SIGNATURE: �/ /v DATE 10 PRINT NAME: Bulletin 4160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application