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16-105264Electrical CwiftyDeveloMe t Permit #:16 -105264 -00 -EL Community Development Dept. 33325 8th Ave S Fedeaal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: HIGH POINT APARTMENTS Project Address: 1066 S 320TH ST Parcel Number: 082104 9188 Project Description: Install 0-200 amp service for new street lights Owner Applicant Contractor HIGH POINT 320 LLC MARDY BETSCHARTM B ELECTRIC LLC M B ELECTRIC LLC 10900 8TH AVE S 2825 MARVIN RD AVE NE SUITE F MBELEEL956LF (6/8/17) BELLEVUE WA 98004 LACEY WA 98516 PO BOX 5758 LACEY WA 98509 Additional Permit Information Is this an Online or O.T.C. application ................. Yes New Service: 0 - 200 amps (M 1 PERMIT EXPIRES Permit Issued on W I hereby certify that the above info) and the occupancy and the use Owner or agent: November, 2017 ve er 2, 2016 ion on the above described property rules and regulations of the State of deral Way. Date: MY CW V& Federal Way PERMIT #: 16105264 00 THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 1066 S 320TH ST jo. _ - . Project: HIGH POINT 320 LLC FEDERAL WAY WA 98003-5338 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 LIFER Ground (4295) ID Ditch cover (4030) © Sbb/Concrete Floor (4255) E] Approved 1By Approved lBy Approved to place concrete By Date By Date ft::l Date ® Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) E] Approved Approved Approved By Date By Date ft::l G Date By Date By Date 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 SITE Rough Electrical E Final Electrical E] Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CoP NOV o2 Zoos ELECTRICAL >r„ Federal Way PERMIT APPLICATION CITY OF FEDERAL WAY CDS PERMIT NUMBER `✓ _ _ SITE ADDRESS: �� s �i SUITE/UNIT/SPACE # PROJECT VALUATION ASSESSOR'S TAR/PARCEL #CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name)Apa PROJECT DESCRIPTION Detailed description of work to be included on this permit only l� S PROPERTY OWNER ELECTRICAL CONTRACTOR NAM PRIMARY PHONE - MAILING ADDRESS EMAIL CITY STATE ZIP NAME r—Y s - FAX ( ) PRIMARY PHONE (3k)) 1'S 0-AS' MAILING ADDRESS S ti S `c3: E-MAIL y, 1.4, t,94?4 'f ( , c ((c - c CITY STATE tM ZIP qe5-02( FAX ) - WA STATE CO CTOR'S LI//CENSE 0 // EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT�� NAME PRIMARY PHONE (� _ 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 L 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 the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of this application. SIGNATURE: PRINT NAME: PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + pennitcentelfi cityot3fxiera.hvay.com Bulletin #160 —April 14, 2016 Page 1 of I k:\Handouts\Electtical Permit Application