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15-103596City of Federal Way t Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2807 Fax: (253) 835-2809 Project Name: BJORKLUND Project Address: 2210 SW 332ND ST Project Description: Replace Panel 0 r Electrical * Permit #: 15 -103596 -00 -EL Inspection Request Line: (253) 835-3050 3&709 Parcel Number: 894500 0290 Owner ApRlican Contractor RIVA BJORKLUND DAN WRIGHT WRIGHT ELECTRIC INC 4237 SW 323RD ST WRIGHT ELECTRIC INC WRIGHEI022CW (2/16/16) FEDERAL WAY WA 11520 29TH AVE SW 11520 29TH AVE SW 98023 BURIEN WA 98146 BURIEN WA 98146 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional?....................... No Electrical Fixtures Alt. Serv./Feeder: 0 to 200 amps (F 1 , PERMIT EXPIRES Tuesday, January 19, 2016 Permit Issued on Thursday, July 23, 2015 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: 02N IN 0 a I Date: THIS CARD IS TO ON-SITE CITY OF Construction In ction Record federal Way INVECTION REQUE TS: (253) 835-3050 PERMIT #: 15 -103596 -00 -EL Address: 2210 SW 332ND ST Project: RIVA BJORKLUND FEDERAL WAY, WA 98023-2834 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) ❑ Ditch cover (4030) Final Electrical Approved Slab/Concrete Floor ( Service (4235) Approved Approved Approved 1By Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding (4195) ❑ Temporary Power (4275) Final Electrical Approved ❑ Service (4235) Right of Way Approved Approved Date Approved By Date Approved By Date By Date By Date 0 ❑ ❑ Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date ❑ Final - Electrical (4055) Approved By Date $. i7 . 15 Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date Jul 221508:42a Wright Electric Inc. RECEIVED 2062462199 p.1 CW �JUL 2 2 2015 11 1111111;::20 JUL ELECTRICAL Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY i�, CDS PERmv NUMBER 1 5 _ © J 5 1� _ E 1, SITE ADDRESS: 7-7-1c) ! w sUiTE/UNCP/SPACF. w PROM= VALUA77ax S 3 �j�ND ASSESSOR'S 1'A7l/PARCEL A r to P � ^ _ 0 -2- CUftR$[( "PROPO` USE — ✓h �f b PROJECT NAME — (Tenant or Homeowner Last Name) &Jo(LL..,-.4D I 2SKPtlkeJL PP",Zj%.L PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER aLZ V Ar 4- b u Fs- NAME (} W o (Z LILL Vh1D iLJ' VA- + b UPR .wLlN6ADDRESS "� - MAW PHONE (L53) CS3� cy 8 ? i +CJs STATE Ep PA][ Z'! ( 1 NAAM V � IR -TVI f L CTI C c+ HAtLIN PR1UURY PHOB'E C� � 0 � �" � - � � � ELECTRICAL CONTRACTOR a ADDRESS SZO �� • E, "`""' ��� a: 11..�.+ac..�..1 11A k` v! !'t `"MATIO8 PA7[ WA ""R COATRACToR'a LIMME y DVATZ F®�L WAY BUBII S LICIXS, N lr� RZ 1+ E oz.Z C- w ! i 3 t IZ-i 6 Zo . 15'- ! oog z APPLICANT EA—DDRMESSEIAEU PRMK&" PHONE - CI7`Y STAVE ZIP FA7C PROJECT COBTACT ( PRIprARY PROVE <!o— a Rm Of lames penalty of Perjury that I ant the property owner or authorized agent of the property owner. I that to the best aR ir�fo►maHort srabrnitted in support of this permit applfmtion Is true orad correct, l certify t U comply with 4PPHeabte Cite of Federal WaY regulations pertaining to the work authorised by the Issuance laws 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 lams regulating construction or environmental laws. I ftuther agree to hold harmless, the CSity of Federal Way as to any claim (including costs, expense and atto the investigation and defense of such clef *, which may be made an need fees incurred in but only where such claire ari e o rJ Pas»n, includtrtg the undersigned, and _R against the city tnformatfon supplied to the ct f tate reliance of the city, including Its officers and employees, upon the accuracy of the trJ a of this application. rAGNATURE: DATE PRINT NAME- 1 1 � N SAL fi-S-f_ LL Bulletin #1b0—January f, 21013 Page ] of k-'WandoulsNBectrical Permit Application