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13-105279K: t EtectAcal City of Federal Way J Community & Econ. Dev. Services r D ermit #: 13 -105279 -00 -EL 33325 8th Ave S I f + Federal Way, WA 98003 Ins ecbon Request Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 td k _ p 4 Project Name: P P R XVI LLC Project Address: 28830 18TH AVE S Parcel Number: 546280 0015 Project Description: Replace meter and 0-200 amp panel Owner ARRlicant Contractor PPR XVII THE RUNNERS LLC THE RUNNERS LLC PO BOX 97 12819 SE 38TH ST BOX 379 RUNNERL915RH (12/3/13) FALL CITY WA 98024 BELLEVUE WA 98006 12819 SE 38TH ST BOX 379 BELLEVUE WA 98006 Additional Permit Information Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 Mast or Meter Repair (Residential/ 1 PERMIT EXPIRES Saturday, May 24, 2014 Permit Issued on Monday, November 25, 2013 I hereby certify that the above ' n is correc d that the construction on the above described property and the occupancy and the u ill be in danc ith the laws, rules and regulations of the State of Washington an a Ci of Federal Way. / Owner or agent: Date: THIS CARD IS TO REMAIN ON-SITE CITY OF` �"' THIS Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 13 -105279 -00 -EL Address: 28830 18TH AVE S Project: P P R XVII FEDERAL WAY, WA 98003-3824 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. o Final - Electrical (4055) Approved By (/lam Date ( 2- q ( 3 LIFER Ground (4295) 0 Ditch cover (4030) Temporary Power (4275) Slab/Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date o Final - Electrical (4055) Approved By (/lam Date ( 2- q ( 3 Pool Bonding (4195) E] Temporary Power (4275) Service (4235) By Approved By Approved By Approved By Date By Date By Date 0 Rough Electrical (4225) Ceiling Cover (4020) E] Feeders/Sub-panels (4045) Approved Approved Approved By Date By Date By Date o Final - Electrical (4055) Approved By (/lam Date ( 2- q ( 3 Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CITY OF Federal Way ELECTRICAL PERMIT APPLI EAE ION ED PERMIT NUMBER 1 Z7- 1 a 5 z-7� _ 00 NOV 2.5 2013 I -T -M, - SITE ADDRESS: -7-1;93c) g — A -le S �(� _ l SUIvNiy 8 CDS PROJECT VALUATION ASSE830R' TAR/PARCEL f CURRENT/PROPOSED USE PROJECT NAME`�7 (Tenant or Homeowner Last Name) �7 ` / e �1 itiC1/\4 c,, �2,9ev4--0 t !V L L G PROJECT DESCRIPTION Detailed description of work to be included on this permit only Q �u1 a rr� dhM - wee �.✓ I �CQ �, o In PROPERTY OWNER NAME l �' 14 l /� ✓ h s O PRIMARY PHONE ( 7_50'Z© MAILING ADDRESS E-MAIL CITYSTATE l K 1 G ZIP FAX ( - ELECTRICAL CONTRACTOR NAME ,� 5 L e „ IV /�' "., HONE �%%►r � PRIMARY Pogo `�(/ i U MAILING ADDRESS �� 51 3e-4 0 4378 vv t4 KM 1; 4 czTY�� / � STATE I ZIP FAx WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE rc4A ►�-e ✓ t,t4 17-/ 3 113 FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE MAILING ADDRESS 6A- E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME` LN PRIMARY PHONE _Z4 l I certify under penalty of perjury that ram 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 " reliance of the city, including its officers and employees, upon the accuracy of the information supplied to ci as a partXjxhis application. SIGNATURE - PRINT NAME: Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application A