17-101160r S
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 835-26M
Project Name: LARSON
Project Address: 450 SW 297TH ST
Project Description: Install 3 cameras
FILE
electrical
Permit #:17 -101160 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 720520 0150
Owner
Applicant
Contractor
THOMAS LARSON
JAMES RUSSELLPRINCE TELECOM INC
PRINCE TELECOM LLC
450 SW 297TH ST
13701 E 24TH ST
PRINCTL834BF(1/9/19)
FEDERAL WAY WA 98023
SUMNER WA 98390
13701 24TH ST E BLDG G
USA
SUMNER WA 98390
USA
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Low Voltage - Other (Residem 1
PERMIT EXPIRES Tuesday, 13 iV� rc
fi•
Permit Issued on Monday, May -A'13,
I hereby certify that the above information is%dTecWR het the
and the occupancy and the use wilLbpe n 7,
awith thenCity of Fe
Owner or agent:
2018
s&A
on the above described property
l and regulations of the State of
Date:
ary of THIS CARD IS TO REMAIN ON-SITE
"�����
Fede�a� y Construction Inspection Record
Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 17101160 00 Address: 450 SW 297TH ST
Project: THOMAS D LARSON FEDERAL WAY WA 98023-3553
Scheduled inspections may be mailed 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)
F11
Rough Electrical (4225)
El
Final - Electrical (4055)
Approved
Approved
Approved
Approved
By
Date
By
Date
By
By
Date
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date