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14-100094f • City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: THE RETREAT Project Address: 1901 SW 320TH ST � Y Electrical Permit #: 14 -100094 -00 -EL --J Inspection Request Line: (253) 835-3050 Project Description: Installing a new 20amp,120 volt service for cable amplifier. Parcel Number: 132103 9102 Owner ARRlican Contractor KEYBANK REAL ESTATE CAPITAL TRI COUNTY ELECTRICAL SERVICES LLC TRI COUNTY ELECTRICAL SERVICES LLC 11501 OUTLOOK ST STE 300 PO BOX 931 TRICOCE948DZ (3/13/14) OVERLAND PARK, KS 66211 ANACORTES WA 98221 PO BOX 931 ANACORTES WA 98221 Additional Permit Information Is this an Online or O.T.C. application?.................Yes. Is Use Educatio or Institutional? ....................... No Service greater than 999 Amps? .............................No Electrical Fb(t res New Service: 0 - 100 amps (Comm 1 PERMIT EXPI onda Permit Iss chi dnesday, I hereby certify that the above information is ct and that t�;, the occupancy and thttas�**T * a with the la , JJ�I nd Citi of Feditr Owner or agent: C u , JuI7, 2014 lanu 8, 2014 1W,tion on the above described property and les and regulations of the S7;71; ington Way. Date:—/ L CITY OF Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 14 -100094 -00 -EL Address: 1901 SW 320TH ST KEYBANK REAL ESTATE CAPITAL FEDERAL WAY, WA 98023-5165 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. 10 Service (4235) ❑ Final - Electrical (4055) Approved Approved By Date By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date RECEIVED ELECTRICAL CITY OF JAN 0 8 2014 Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY /c I CDS y� PERMIT NUMBER �f - I D 0 O LI�- 0 D SITE ADDRESS: Jap � b� SUITE/UNIT/SPACE # PROJECT VALUATION $ 9 DO . ob ASSESSOR'S TAR/PARCEL # - _ _ _ CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) PROJECT DESCRIPTION Detailed description of work to be included on this permit only La i2o� - - PROPERTY OWNER NAME PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP // FAX t ) - ELECTRICALS CONTRACTOR NAME PRIMARY PHONE _s6p� —I -I l� MAILING ADD a l E -MAH, ��� CZk� - �r_ CITYcc.) STATE V �l ZIP FIX SM. WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE E e- 148 D FEDERAL WAY BUSINESS LICENSE # NE APPLICANT NAME A 9 1/`-i�f/3470 PRIMAIPHONE MAILING ADDRESS C E- t./� CITY STATE ZIP ( FAX t ) - PROJECT CONTACT NAffiE c�0 ®-��b) PRIMARY PHONE /_ -7-7 (� k 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 clainq, which may be made by any person, including the undersigned, and filed against the city, but only where such im ar*ses o t o the city, including its officers and employees, upon the accuracy of the information su ed to the ' as a of t on. SIGNATURE: DATE I 1 PRINT NAME: A Bulletin # 160 -January 1, 2013 Page 1 of 2 klHandouts\Electrical Permit Application