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18-104458City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Electrical FILE Permit #:18 -104458 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: DURGA Project Address: 29924 3RD AVE S Project Description: Electrical work to include modifying (1) in the basement. Parcel Number: 692860 0440 Owner Applicant Contractor KAREN DURGA PATRICK BROWNELLC M E ELECTRIC C M E ELECTRIC LLC 29924 3RD AVE S LLC CMEELEL865QE (11/5/20) FEDERAL WAY WA 98003-3619 1716 57TH AVE NE 30262 225TH AVE SE TACOMA WA 98422 BLACK DIAMOND WA 98010 Additional Permit information' Is this an Online or O.T.C. application? .................. Yes Circuits - Residential 1 PERMIT EXPIRES Friday, 20 September, 2019 Permit Issued on Thursday, September 20, 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: Date: ���_ THIS CARD IS TO REMAIN ON-SITE c� Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERNM #: 1810445800 Address: 29924 3RD AVE S Project: WILLIAM DURGA FEDERAL WAY WA 98003-3619 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. 41 UFER Ground (4295)Z❑ $❑ Ditch cover (4030) 0 Slab/Concrete Floor (4255) Service (4235) Approved Approved Approved IBY Approved to place concrete By Date By Date By Date 41 Pool Bonding (4195) $❑ Temporary Power (4275) ® ® Service (4235) Approved Approved Approved Approved Approved By Approved By Date By Date By Date 0 Feeders/Sub-panels (4045) ® Rough Electrical (4225) ® Ceiling Cover (4020) Approved Approved Approved By Date Date 2 C, By Date By Date By Date 10 Final - Electrical (4055) Approved By •w- Date p g 0 Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF Federal Way RECEIVED ELECTRICAL sEP 20 2018 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNfTY DEl(ELOPMFNT PERMIT NUMBER SITE ADDRESS: SUITE/UNIT/SPACE # PROJECT VALUATION ASSESSOR'S TAX/PARCEL # 9 2 8 (o O CURRENT/PROPOSED USE ,�70 —( PROD CT NAME (Tenant or Homeowner Last Name) 0fa9Q P� C,=�t / PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER' NAME -- PRIMARY PHONE MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE MAILING ADDRESS 110 • © �O E-MAIL j �1 Cync- ELECTRICAL CITY 6 6.e -k 0 STATE cd- ZIP '? mrd FAX ( ) - CONTRACTOR WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # �'rr` L QlII,( NAME PRIMARY PHONE f G� (� ) APPLICANT LING ADDRESS E-MAIL 17 I6 P 6,cy� dC CITTY%� STATE ZIP�/�(�'j, FAX PROJECT CONTACT NAME 0-- -5 PRIMARY PHONE ( _ 3 <2; 12- 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: PRINT NAME: Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application