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18-101671City of Federal Wry Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 8355-2607 Fax (253) 8352609 i Electrical FILEPermit #:18 -101671 -00 -EL Inspection Request Line: (253) 835050 Project Name: SOUTH KING FIRE STATION 63 Project Address: 33414 21ST AVE SW Project Description: Install new gas diesel tank and dispensers Parcel Number: 132103 9062 Owner Applicant Contractor SOUTH KING FIRE & RESCUE THE ELECTRIC SHOP THE ELECTRIC SHOP 31617 1ST AVE S 29506 51ST AVE S ELECTS'099CK (3/23/19) FEDERAL WAY WA 98003 AUBURN WA 98001 2950651ST AVE S USA AUBURN WA 98001 USA Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Commercial 2 PERMIT EXPIRES Friday, 19 April, 2019 Permit Issued on Thursday, April 19, 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 Washi d the City o ederaI Way. Owner or agent: Date:_ /S CRr 4 Federal Way PERMIT M Project: THIS CARD I3 To REMAIN oN-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 181016710 Address: 33414 21ST AVE SW SOUTH KING FIRE & RESCUE FEDERAL WAY WA 98023-7761 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections we 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. ® UFER Ground (4295) F11 Ditch cover (4030) [D Slab/Concrete Floor (4255) Ceiling Cover (4020) Approved Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding (4195)® Temporary Power (4275) © Service (4235) Ceiling Cover (4020) Approved Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels (4045) ® Rough Electrical (4225) 0 Ceiling Cover (4020) .. - Right of Way Approved Approved Approved Approved Approved By Date By By Date By Date 10 Final - Electrical (4055) Approved By Date Rough Electrical .. _.Final Electrical � . ... .. - Right of Way Approved Approved Approved By Date By Date By Date CITY OF Federal Way RECEIVED ELEC'T'RICAL PERMIT APPLICATION APR 19 2018 Q CITY OF FEDERAL WAY PERMIT NUMBER v COMMUNITY DEVELOPMENT — — - 10 1 (o -7-1 - 00 SITE ADDRESS: ��� l Z ( ST r PROJECT VALUATION ASIES�'S TAR/PARC$L # O � - � O � � $ Z 1 SUITE/UNIT/SPACE # CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) n ��� �� rm,-A� W' PROJECT DESCRIPTION Detailed description of work to be included on this permit only �'4 5 ,�1E 6 . L •4 S j` d> PROPERTY OWNER NAME 6001k PRIMARY PHONE _ - MAILING ADDRESS�` ��� 3 ( s (//� E-MAIL CITY STATE tow- ZIP I 9,ecto 3 FAX c ) - ELECTRICAL CONTRACTOR NAME Z71GG7`/�<G 66a PRIMARY PHONE (o) 710- le MAILING ADDRESS C F J 66 ) IV E-MAIL iAete- leetel-L6Ano 4P CITY t4() 13 U le A) STATE 1 W4 ZIP �Foo I FAX ( ) - C4*�C.AST WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE L TS d c� a o Ia02 FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME 5/Amiz( PRIMARY PHONE ) MAILING ADDRESS E-MAIL CITY STATE I ZIP FAX PROJECT CONTACT N E PRIMARY PHONE 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 Iocal, 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 is a plication. SIGNATURE: DATE — /9 PRINT NAME: S�a� Bulletin # 160 - April 14, 2016 Page I of 1 k:\Handouts\Electrical Permit Application L� Er