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14-100212City 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: DONOVAN Project Address: 30625 43RD AVE SW Project Description: Replace thermostat. • Electrical Permit #: 14 -100212 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 112103 9088 Owne ARRlican Contractor THOMAS & ANDREA DONOVAN CITY ENERGY SYSTEMS CITY SHEET METAL 30625 43RD AVE SW 4202 AUBURN WAY N CITYSM*004C4 (1/18/16) FEDERAL WAY WA 98023 AUBURN WA 98002 4202 AUBURN WAY N UNIT 8 AUBURN WA 98002 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No Electrical Fixtures Thermostat ..................................... 1 PERMIT EXPIRES Monday, July 14, 2014 Permit Issued on Wednesday, January 15, 2014 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 of Federal Way. Owner or agent Date: CITY OF Federal Way THIS CARD IS TOMAIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 14 -100212 -00 -EL Address: 30625 43RD AVE SW Project: THOMAS & ANDREA DONOVAN FEDERAL WAY, WA 98023-2123 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) 11 Ditch cover (4030) Final Electrical Approved Slab/Concrete Floor (4255) Temporary Power (4275)Service Approved Approved Approved Date Approved to place concrete By Date By Date By Date Pool Bonding (4195) Rough Electrical Approved Final Electrical Approved Temporary Power (4275)Service (4235) Approved By Date Approved By Date Approved By Date Date By Date By Date E] 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 _ k Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date ELECTRICAL ICITYOF 1� JAN 152014 !Federal Way, PERMIT APPLICATION ! CITY OF FEDERAL WAY ! CDS k'ERMIT NUMBER 1 _ 0 0 -2- / - SITE ADDRESS:!'76 62- " 11 / AVO S Y-4loe-A L wA R�23 SUITE/UNIT/SPACE s! PROJECT VALUATION $1 ASSESSOR'S TAR/PARCEL # o gf�! CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) ^� PROJECT DESCRIPTION Detailed description of work to be included on this permit only e �Ic� ,ems-©S"�.i�' �,✓ � PROPERTY OWNER NAME PRDRARY PRONE MAIIdNG ADDRESS y J A � E -MAD. ,•L'P� l (N� t/"J'� WQ 2 ( ) FAR l.X�IVL� ELECTRICAL CONTRACTOR NAMS� Il�`eQ� V� • PHONE (DC7 )PRDY Z LEl714 MAILING RESS ,, �j ��2 V v� W /v A MN. (t' $if< <cigi 190"t"L STATE KAJW ZIP q&; 3 FAX - azSz WWA STATE CONTRA�CyT/OWS LICENSE N EXPIRATION DATE C(1- -e- ©®'1C4 FEDERAL WAY BUSINESS LICENSE S 1400 77-t)/— APPLICANT NAME PRIMARY PHONE MAMING ADDRESS E -MAN. CITY STATE ZIP FAX ( ) PROJECT CONTACT N 1 a �V �� V � «l PHONE Pgid - 6)69 I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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), ich may be made by any person, including the undersigned, and flied against the city, but only where suc c im artse,� out of reliance of the city, including its officers and employees, upon the accuracy of the injbrmation suppli d tot i ; part this application. SIGNATURE: PRINTNAME: / 1 //4 Lzow Cvrrfiyo!$271!6!Kbovbsz!2-!3124! Cbhf!2!pg3! I JI boepvd]FrfrdAdbW9ijdBggrft Wpo! M