18-102999y
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Electrical
CityoffedwalWsy Permit #:18 -102999 -00 -EL
Community Development Wept.
33325 8th Ave S
FILE
Fed«al Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 8352607 Fax (253) 835.2609
Project Name: LYNCH
Project Address: 32315 26TH PL SW Parcel Number: 873180 0930
Project Description: Replace electrical panel; add (2) circuits.
Owner
Applicant
Contractor
KEVIN LYNCH
KEVIN LYNCH
OWNER IS CONTRACTOR
32315 26TH PL SW
32315 26TH PL SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Alt. Serv./Feeder: 0 to 200 aml 1
PERMIT EXPIRES Tuesday, 9 July, 2019
Permit Issued on Monday, July 9, 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: 7-4- 18
w
MY THIS CARD IS TO REMAIN ON-SITE
Fe�dera� Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERNM #: 18102999 00 Address: 32315 26TH PL SW
Project: KEVIN LYNCH FEDERAL WAY WA 98023-2551
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)
Q
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
]By
Approved to place concrete
By
Date
By
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
7❑
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Ceiling Cover (4020)
Rough Electrical
Approved
Right of Way
Approved
Approved
By
Date
By
Date
By
Date
10 Final - Electrical (4055)
Approved
By Date IZ 13
E
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
- - Date
By
Date
CITY of
Federal Way
RECEIVED
JUL 0 9 20%
CITY OF FEDERAL WAY
COMMUNfTY DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER —/ 9 - Z 0 -1 L - O 'l
SITE ADDRESS' 2�2
r�e—�k
SUITE/UNIT/SPACE #
J
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I b
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #CURRENT/PROPOSED
USE
$350
277
-
0,
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PROJECT NAME
(Tenant or Homeowner Last Name)
i._V' }/� t✓
PROJECT DESCRIPTIONS
C`C QL < Cq �� 1^
Detailed description of work to
be included on this permit only
NAME
�
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PRIMARY PHONE
PROPERTY OWNER
1
(2,5 ) 07- -559 5
MAILING ADDRESS
E-MAIL
E-MAIL
%S Zl� PL Sv`l
CITY
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STATE
Wit-
ZIP
1 9 02-3
FAX
( ) -
NAME
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME -
V W 0, 0�
PRIMARY PHONE
( ) -
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME +
PRIMARY PHONE
I
( 253) L$Z- - BST5
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 of this application.
SIGNATURE:
PRINT NAME:
TE -7-9 -1e)
Bulletin # 160 - April 14, 2016 Page 1 of 1 k:\14andouts\Electrical Permit Application
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