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18-104491City of Federal Wry Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: FEDERAL WAY HIGH SCHOOL Project Address: 30611 16TH AVE S . _ , Electrical Permit #:18 -104491 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 082104 9001 Project Description: Installation of (3) electronic scoreboards (electrical appliances). Final electrical connection by separate permit. Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOLS DIVISION 10 SIGNS DIVISION 10 SIGNS 33330 8TH AVE S 19410 HWY 99 SUITE A225 DIVISIS854QC (11/3/19) FEDERAL WAY WA 98003 LYNNWOOD WA 98036 19410 HWY 99 SUITE A225 LYNNWOOD WA 98036 Additional Permit information Is this an Online or O.T.C. application? .................. Yes Sign PERMIT EXPIRES Saturday, 21 September, 2019 Permit Issued on Friday, September 21, 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: 9 /'2d l y Cm eM 0& Federal Way PERAM #: 1810449100 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 30611 16TH AVE S r Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY WA 98003-4903 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. El UFER Ground (4295) ® Ditch cover (4030) 0 Slab/Concrete Floor (4255) Ceiling Cover (4020) Approved Approved Approved IBY Approved to place concrete By Date By Date By Date 4❑ Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Ceiling Cover (4020) Approved Approved Approved Approved Approved By Date By Date By Date E9 Final - Electrical (4055) Approved By Datei/l<f Feeders/Sub-panels (4045) ® Rough Electrical (4225) Final Electrical 0 Ceiling Cover (4020) Approved Approved Approved Approved By Date By Date Date By Date E9 Final - Electrical (4055) Approved By Datei/l<f Rough Electrical 0 Final Electrical Right of Way Approved Approved Approved By . Date BY Date By Date CITY OF A Federal Way RECEIVED ELEC'T'RICAL SEP 21 2018 PERMIT APPLICATION CITY OF FEDERAL WAY ////�111 COMMUNITY DEVELOPMEt&RMIT NUMBER J-9 _ —1-0411 L _ -f"Ll SITE ADDRESS: 30� i +h S © SUITE/UNIT/SPACE#F PROJECT VALUATION ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) Y PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME 1 l/t./sc-&Dds- fit� PRIMARY PHONE MAILINGADDRESS E-MAIL CITY STATE I ZIP FAX ( ) ELECTRICAL CONTRACTOR NAME 1 b k4,j PRIMARY PHONE (116 )50 - 55q MAILING ADDRESS N l0 Y 5� aaS E-MAIL CITY UN STATE ZIP ?Ala FAX ( ) - WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE 1 z 54 ac IL/ 3 / i FE RAL WAY BUSINESS LICENSE 8 9- (- APPLICANT NAME GN 1 ~ PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP ( FAX l ) PROJECT CONTACT NAME jo'g. PRIMARY PHONE Y4;-- 5;1 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city ass a part of this application. �p SIGNATURE:()� ( � C14, DATE 14 t IID PRINT NAME: jo"ErJ L -e wycg- Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\I-Iandouts\Electrical Permit Application