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12-103599T �lect�rical City of Federal Way in Community & Econ. Dev. Services Permit-#: 12 -103599 -01 -EL 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 8355-30550 Project Name: ANDERSON Project Address: 29726 25TH PL S Parcel Number: 768380 0042 Project Description: Installing a new service and feeder to run power to a damage manufactured home. Owner Anglican Contractor SHEILA P ANDERSON POWER ELECTRIC POWER ELECTRIC 29726 25TH PL S 7423 48TH ST NE POWERE*99105 (9/25/13) FEDERAL WAY WA 98003 MARYSVILLE WA 98270 7423 48TH ST NE YSVILLE WA 98270 Additional Permit Information Is Use Educational or Institutional? . .................No Electrical Fixtures Service or Feeder - Manu./ Mobile 1 PERMIT EXPIRES Sunday, Permit Issued on Friday, S� I hereby certify that the above information is correct the occupancy and the use will be in accordanmw Owner or Q] ember *Vl-4 er 7�2 constr I on the above described property and rules gulations of the State of Washington al Date: tf ?/o TO z THIS CARD IS TO REMAIN ON-SITE CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 12 -103599 -01 -EL Address: 29726 25TH PL S Project: SHEILA P ANDERSON FEDERAL WAY, WA 98003-4860 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. . Ditch cover (4030) Slab/Concrete Floor (4255) Rough Electrical (4225) Service (4235) ❑ Approved By Approved to place concrete Approved By Date By Date By Date `o . Feeders/Sub-panels (4045) E] Rough Electrical (4225) ❑ Final - Electrical (4055) By Approved By Approved By Approved By Date By Date By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date 4 � , City of F9deral Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: ANDERSON Project Address: 29726 25TH PL S Project Description: Temp pole • `" Electrical Permit #: 12 -103599 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 768380 0042 Owner ARRIlcan Contractor SHEILA P ANDERSON POWER ELECTRIC POWER ELECTRIC 29726 25TH PL S 7423 48TH ST NE POWERE'99105 (9/25/13) FEDERAL WAY WA 98003 MARYSVILLE WA 98270 7423 48TH ST NE MARYSVILLE WA 98270 Additional Permit Information Is Use Educational or Institutional? ....................... No Electrical Fixtures Temp. Service: 0 - 60 amps (All)... 1 PERMIT EXPIRES Saturday, February 2, 2013 Permit Issued on Monday, August 6, 2012 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 e City of Federal Way. Owner or Date: CrtY'OP Federal Way r � Building Division 33325 Eighth Avenue South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: a-)" a- S U P I -S",- PERMIT#: -o`- A� k 1 \,1 iE c I) c ti �- q u, 17 v -vv 0-,.v A V -'_Pi 6- V, % l'. \, Z r_ a Tcc 10 `.v tl r <z—,, i _ Y—" Y "Q C (� 41 i,_ Com. C ,� <� C� Eiv �(_ F3\. IF YOU HAVE QUESTIONS CALL (253) 835- - L2 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of THIS CARD IS TO REMAIN SON -SITE CITY °FConstruction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 12 -103599 -00 -EL Address: 29726 25TH PL S Project: SHEILA P ANDERSON FEDERAL WAY, WA 98003-4860 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. Temporary Power (4275)Final - Electrical (4055) Approved Approved By Date I I By Date Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date It CITY OF Building Division iz Fed a ra I Wa 33325 EightFT Avenue South Federal Way, WA 98003-6325 Ilk:Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: a, `l �. �_S Sl PERMIT#: 1 -1 -- \ cz�, -a S V1 - n \- 1.= \­ tD ✓� t , lei S. P �� SY\ . W t� ti— (I d I � ©I S as \4� IF YOU HAVE QUESTIONS CALL (253) 835- 2 �,, 2----? WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. ��_ - N' z C, � DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of NCITY OF Vp:_' l ✓.. FedeNOWA4ED ELECTRICAL AUG os 202 PERMIT APPLICATION CITY OF WL WAY electrical permits maybe obtained on-line at www.citvoffederalway.com** SITE ADDRESS: SUITE/UNIT/SPACE # d / ASSESSOR'S TAX/PARCEL # Q' CURRENT/PROPOSED USE _U 2-- 3 PROJECT NAME (Tenant or Homeowner Last Name) ' PROJECT DESCRIPTION Detailed description of work to be included on this permit only 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. 1 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. SIGNATUR PRINT NAME: N 33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com Bulletin #160 -January 1, 2011 Page I of 2 k:\Handouts\Electrical Permit Application NAME PRIMARY PHONE PROPERTY OWNER ( _ MAILING ADDRESS E-MAIL CITY STATE ZIP FAX Il o NAME . a�� PRIMARY PHONE ELECTRICAL MAILING ADDRESS /3 CS s /l A VF CONTRACTOR CITYZIP 1 STA /Was rt l 2 r a j (3� 356- �;i 33 WA STATE C TRACTO S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT ( � �s �- 37-,G 2 MAILING ADDRESS J� / 3 1 � S � �/ V V �_ - E-MAIL !%9a 1 s v-� �l �s%� ZIP TC)(3�► 3EAX� PROJECT CONTACT /�j- rr ,i/6) rW V �a d % MARY PHO (yZ <l 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. 1 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. SIGNATUR PRINT NAME: N 33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com Bulletin #160 -January 1, 2011 Page I of 2 k:\Handouts\Electrical Permit Application CITY PROJECT CONTACT STATE I ZIP FAX 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 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: 33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 1 www.cityoffederalway.com Bulletin #160 — January I, 2011 Page 1 of 2 k:\Handouts\Electrical Permit Application