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18-105232Electrical Cityoffederid Way Applicant Permit #:18 -105232 -00 -EL yDevelopment Community Development Dept. UNIVERSAL ELECTRIC CO UNIVERSAL ELECTRIC CO 33325 8th Ave S Federal Way, WA 98003 18602 37TH DRIVE SE Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax (253) 8352609 BOTHELL WA 98012 18602 37TH DRIVE SE Project Name: HIGHLAND PHARMACY BOTHELL WA 98012 Project Address: 31840 PACIFIC 13WY S Parcel Number: 092104 9221 Project Description: Electrical work for tenant improvements including lighting, switches and outlets. Owner Applicant Contractor FEDPAC LLC UNIVERSAL ELECTRIC CO UNIVERSAL ELECTRIC CO 31830 PACIFIC HWY S 18602 37TH DRIVE SE UNIVEEI985D2 (9/14/20) FEDERAL WAY WA BOTHELL WA 98012 18602 37TH DRIVE SE BOTHELL WA 98012 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Commercial 13 PERMIT EXPIRES Tuesday, 5 November, 2019 Permit Issued on Monday, November 5, 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 Owner or agent: I Date: / / crry of Federal Way PERAM #: 18105232 00 Project: FEDPAC LLC THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 31840 PACIFIC HWY S Bldg 2 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, 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. 0 UFER Ground (4295) El Ditch cover (4030) El Slab/Concrete Floor (4255) Ceiling Cover (4020) Approved IBY Approved Approved to place concrete By Date By Date By Date �a Final - Electrical (4055) Approved By Date . Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Ceiling Cover (4020) Approved IBY Approved Approved By Date By Date By Date �a Final - Electrical (4055) Approved By Date . Feeders/Sub-panels (4045)rBy ❑ Rough Electrical (4225) 0 Ceiling Cover (4020) Right of Way Approved Approved Approved Approved Approved By Date By Date Date By - Date t 2y �a Final - Electrical (4055) Approved By Date . Rough Electrical ❑ Final Electrical ❑ Right of Way Approved Approved Approved By Date By Date By Date CITY OF A Federal Way RECEIVED ELEC'T'RICAL NOV 0 5 2018 PERMIT APPLICATION CITY OF FEDERAL WAY OpMMUN(N DEVELOPM PERMIT NUMBER SITE ADDRESS: 3 J �14c) �q.,,Qkfioz ,I SUITE/UNIT/SPACE # PROJECT VALUATION^, AS3 OWS TAX/PARCEL # CURRENT/PROPOSED USE S <--)C)�✓ - PROJECT NAME (Tenant or Homeowner Last Name) U, PROJECT DESCRIPTION LN Ili - Detailed description of work to Uj"I be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE leglk�ih T ( l - ELECTRICAL MAILING ADDRESS /Pro r)��, , t MAIL C11 TATE ZIP FAR CONTRACTOR A STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME S PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL TY STATE L1 FAX c ) — PROJECT CONTACT 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 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 o 's a lication. SIGNATU DATE �o l PRINT NAME: l Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\l-Iandouts\Electrical Permit Application ,I Irl