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18-105306City of Federal Way Applicant Community Development Dept. FILE 33325 8th Ave S NW ELECTRIC SERVICES INC Federal Way, WA 98003 INC Ph: (253) 835-21107 Fax (253) 835-2609 MANHATTAN BEACH CA 90266-3638 Project Name: SHARE TEA Project Address: 31217 PACIFIC HWY S Electrical Permit #:18 -105306 -00 -EL Inspection Request Line: (253) 835-3050 Project Description: Electrical work to include equipment receptacle and (15) circuits Parcel Number: 082104 9186 Owner Applicant Contractor ALEXANDER HAAGEN OPERATIN EUNPAE KIMNW ELECTRIC SERVICES NW ELECTRIC SERVICES INC 12525 105TH PL NE INC NWELEES925DL (3/30/20) MANHATTAN BEACH CA 90266-3638 32419 3RD AVE SW 32419 3RD AVE SW FEDERALWAY WA 98023 FEDERAL WAY WA 98023 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes k 3 € 3E4 E— �•$F t e Circuits - Commercial 15 PERMIT EXPIRES Friday, 8 November, 2019 Permit Issued on Thursdav, November 8, 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. n Owner or agent: Date: //" �- UVIL11-9� crry oR V& Federal Way PERrArr #: 18105306 00 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 31217 PACIFIC HWY S Unit B-101 Project: ALEXANDER HAAGEN OPERATIN FEDERAL WAY WA 98003 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, tap 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) El Ditch cover (4030) © Slab/Concrete Floor (4255) Approved Approved 1BY Approval to place concrete By Date By Date By Date ® Pool Bonding (4195) El Temporary Power (4275) © Service (4235) Approved Approved Approved By Date By Date By Date 7❑ Feeders/Sub-panels (4045)® Rough Electrical (4225) ® Ceiling Cover (4020) Approved Approval Approved By Date By Date 1 1, By Date �a Final - Electrical (4055) Approved By Date Rough Electrical Final Electrical Right of way Approved Approved Illy Approval By Date By Date Date CITY OF A Federal Way RECEIVED ELECTRICAL Nov o 8 2018 PERMIT APPLICATION CITY OF FED VEL WMY 1 _ l 0 COMMUNITY DEVELOPMEl� 7 PERMIT NUMBER SITE ADDRESS' 3121/7 pa c F1(' ��y s v �a �D� SUITE/UNIT/SPACE # PROJECT VALUUATION (J 4919t ASSESSOR'S R'S TAR/PARCEL # _0 17 I - l CURRENT/PROPOSED USE PRO CT NAME (Tenant or Homeowner Last Name) S� a e e �e PROJECT DESCRIPTION Detailed description of work to be included on this permit only •Qmr4mentP G PROPERTY OWNER NAME PRIMARY PHONE MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) ELECTRICAL CONTRACTOR NAME NA.) EIL-c-rieIc sEkvICe5 //VC PRIMARY PHONE MAILING ADDRESS 3-a4/rd AVE &k) E-MAIL Ki'MG'WIWa o0 CITY TWeral �a STATEZIP W ffo23 FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE WE LL FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME 6�4(4 A, PRIMARY PHONE ( ) MAILING ADDRESS 32�/ rd A1/& S(-/ E-MAIL CITY 14va STjAT]�E ZI/7P� (1 ^ FAR PROJECT CONTACT NAME C-tfo t --a .e � Al 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. 1 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 thcxkty as a part of this application. SIGNATURE: PRINT NAME: 6-41 /? t,A 4 1("f M Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\flandouts\Electrical Permit Application �aM