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17-103049
V 5 City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 8352607 Fax: (253) 835-2609 Project Name: COTTAGES WEST CLUSTER 111 Project Address: 35326 3RD PL SW Project Description: Relocated temp pole on NORTH side of property. Electrical Permit #:17 -103049 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 302104 9146 Owner Applicant Contractor POWELL FAMILY LAND COMPANY PLATEAU ELECTRIC (K B G LLC) PLATEAU ELECTRIC (K B G LLC) PO BOX 98309 702 SE BATTERSBY AVE SUITE 104 PLATEE*925K2 (5/22118) DES MOINES, WA 98198 ENUMCLAW WA 98022 702 SE BATTERSBY AVE SUITE 104 ENUMCLAW WA 98022 Additional Permit information Is this an Online or O.T.C. application? .................. Yes Temp. Service: 61 - 100 amps PERMIT EXPIRES Tuesda Permit Issued on Monday, I hereby certify that the and the occupancy Owner or agent: i on the above described property and regulations of the State of Date:—6 / THIS CARD IS TO REMAIN ON-SITE ""'o'441� Construction Inspection Record Fedewl Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 27103049 00 Address: 35326 3RD PL SW Project: POWELL FAMILY LAND COMPANY FEDERAL WAY WA 98023 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 Temporary Power (4275) 0 Final - Electrical (4055) Final Electrical Approved Approved By Date By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OfA Federal Way RECEIVED JUN 2 6 2017 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT ELECTRICAL PERMIT APPLICATION PERMIT NUMBER / 7 _ / ) 0 q _ E L SITE ADDRESS: 3 !� 3 (ZD PL- SL,-) SUITE/UNIT/SPACE # PROJpECCT VALUATION J�U ASSESSOR'S TAX/PARCEL # 3 l� 2 ► © �- �f (� CURRENT/PROPOSED USE PROJECT NAME (Tenant or Homeowner Last Name) rr, 11 C p +4 -CL 0 .e S W es t - PROJECT DESCRIPTION Detailed description of work to be included on this permit only F wtp ei) L`-, e i' PROPERTY OWNER NAME �C� 1,..,,e l i0 VA,-\ P -S PRIMARY PHONE ( ) - MAILING ADDRESS ,A,� Z-ZZ-�� I-`�irt...� vIeW I)r,2 E-MAIL CITY Des i'1,J1C)Ines STATE WPC I ZIP Q� FAX ELECTRICAL CONTRACTOR NAME PI a lea E r l'c. PRIMARY PHONE ( ) - MAILING ADDRESS -702 Bfl- - +-frS AV(L St 1 0 E-MAIL CITYTATE C-V\,�VkC�I�rLi UJN ZIP Qgc>ZZ FAX FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE T>L A EE2S k 2 Si Z2-/1 8 FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME c a v -v, 2 q S a 6C> V e 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 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 claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claitrly arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to city qy a part of this application. SIGNATURE: PRINT NAME: -% -1-1 Vt', KA til ,S}A I n (,,)- 2&- /-7 Bulletin # 160 - April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application