19-100076t I
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
x`10 =1 .
Project Name: CAMELOT SQUARE SP 62
Project Address: 3001 S 288TH ST
Project Description: splice wires going to Mobile home that were broken
Electrical
Permit #:19 -100076 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9155
Owner
Applicant
Contractor
CAMELOT SQUARE INC
PATTY FULLERFULLER ELECTRIC INC
FULLER ELECTRIC (EL 01)
3001 S 288TH ST
1220 S 356TH ST SUITE A-5
FULLEEI027BK (1/12/20)
FEDERAL WAY WA 98003-8019
FEDERAL WAY WA 98003
37107 12TH AVE S SUITE A-5
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Service or Feeder - Manu./ Mo 1
PERMIT EXPIRES Tuesday, 7 January, 2020
Permit Issued on Monday, January 7, 2019
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:
crrr or 44A
Federal Way
PERAM #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
19100076 00
CAMELOT SQUARE INC
Address: 3001 S 288TH ST Space 62
FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not onsite. 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. Ongoing inspections are logged on the back of this card.
u Slab/Concrete Floor (4255) U Final - Electrical (4055)
Approved to place concreteApprov
By Date By ,6 Date
L
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date