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18-105440City of Federal Way Applicant Community Development Dept FILE 33325 8th Ave S CHARLES DEAN ELECTRIC LLC Federal Way, WA 98003 ELECTRIC Ph: (253) 835.2607 Fax: (253) 835-2609 GIG HARBOR WA 98335 Project Name: PARKWOOD LANE LOT 21 Project Address: 2611 S 288TH ST Project Description: Replace mobile home pedestal Electrical Permit #:18 -105440 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 283920 0210 Owner Applicant Contractor AFFINITY REAL ESTATE SVCS LAUREN REDMONDCHARLES DEAN CHARLES DEAN ELECTRIC LLC 3110 JUDSON PMB 202 ST ELECTRIC CHARLDE930LQ (6/18/19) GIG HARBOR WA 98335 19319 SE 243RD PL 28107 20TH AVE S COVINGTON WA 98042 FEDERAL WAY WA 98003 Additional Permit Information' Is this an Online or O.T.C. application? .................. Yes PERMIT EXPIRES Friday, 15 November, 2019 Permit Issued on Thursday, November 15, 2018 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 and ity of Federal Way. Owner or agent: Date: s� a" THIS CARD IS TO REMAIN ON-SITE Fri Vft Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 18105440 00 Address: 2611 S 288TH ST Unit 21 Project: AFFINITY REAL ESTATE SVCS FEDERAL WAY WA 98003-7976 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential orderas possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check vitt 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) ® ID Ditch cover (4030) Service (4235) Slab/Concrete Floor (4255) Approved ]By Approved Approved 1By Approved 1By Approved to place concrete By Date By Date Date By Date 0 Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Approved ]By Approved 1By Approved By Date By Date By Date ® Final - Electrical (4055) Approved By Date Feeders/Sub-paneh (4045) ® Rough Electrical (4225) Q Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date ® Final - Electrical (4055) Approved By Date Rough Electrical Final Electrical Right of Way Approved Approved LBy Approved By Date By Date Date CITY OF 1A Federal Way RECEIVED NOV 15 2018 COMTY OF WAY UNITY DEVELOPMENT ELECTRICAL PERMIT APPLICATION PERMIT NUMBER I O _ ' 5 L-1 q SITE ADDRESS: 0611 ( s Z g,� 7- L, 17 SUITE/UNIT/SPACE # 41-- F, PROJECT VALUATION op ASSESSOR'S TAR/PARCEL # ti g 3 Z o- O Z l a CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME 1rA PRIMARY PHONE MAILING ADDRESS Z6 5 E-MAIL CITY STATE ZIP FAX QL. LJO. "j M W / l ) NAME 4:: r S 0 c a. A-.) C,cGrri C PRIMARY PHONE (ZS3) Jo - 9 3 G MAILING ADDRESS Z45 t o 7 ZL% �e MAIL ��tes eccLd!!^- ELECTRICAL CONTRACTOR CITY gQec L STATEZIP U^ 9 Cy oo- FAX WA STATE CONTRACTOR'S LIEENSE # gxt EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # © .. APPLICANT NAMEPRIMARY z1aO C P ONE (ttmr) #7 - Z 7q Z MAILING ADDRESS r P E-MAIL CITY rrS__TAAT�TE ZIP FAX PROJECT CONTACT NAME vIre PRIMARY PHONE (Y )07 - Z,>YZ- 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 as apart of this applic on. SIGNATURE: DATE PRINT Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application