17-100939City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253)835.2609
Project Name: MOSS
Project Address: 28962 11TH PL S
Project Description: Electrical for Furnace
Electrical
FILE Permit #:17 -100939 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 515230 0060
Owner
Applicant
Contractor
RICHARD A MOSS
CYNDAL MILLHOLLINNORTHWEST
PACIFIC AIR SYSTEMS (ELECTRICAL
28962 11TH PL S
PERMIT/ WESCO
02)
FEDERAL WAY WA 98003
1345 W GULF RD
PACIFAS853LB (6/2/17)
POINT ROBERTS WA 98281
12811 PACIFIC HWY S
LAKEWOOD WA 8023
Additional Permit Information Ir
Is this an Online or O.T.C. application? .................. Yes
64
Circuits - Residential l
PERMIT EXPIRES Wednesday, 28 Eahrfiiry, 2018
Permit Issued on Tuesd , W 28, 2017
I hereby certify that the above information is cope an a construction ve
and the occupancy and the use will be in accord the laws, rules gulation
Was 'ngton an a Federal Way
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Owner or agent:
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s of the State of
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CITY OF 33325 Eighth Avenue South
Federal WayP9 Box 9718
Federal Way, WA -98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
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IF YOU HAVE ANY QUESTIONS CALL 'WA -C --I-- (253) 835- 2,,,67,:3
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.
3 11 11'1
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
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IF YOU HAVE ANY QUESTIONS CALL 'WA -C --I-- (253) 835- 2,,,67,:3
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.
3 11 11'1
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
THIS CARD IS TO REMAIN ON-SITE
arms �Mr
Federal Way Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PEP -AM #: 1710093900 Address: 2896211TH PL S
Project: THERESA MOSS FEDERAL WAY WA 98003-3706
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD Inspections
(read left to right, top to bottom). Please schedule i ved are listed as close to sequential order as possible
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.
in UFER Ground (4295) 1..1 Ditch cover (4030) Slab/Concrete Floor (4255)
A ed
[By
i ce'
Approved
Approved to place COWMW
Date
By
Date
BY
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Approved
Service( 4235 )
Approved
Approved
By
Date
By
Date
BY
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
Q
Approved
Ceiling Cover (4020)
Approved
Approved
By
Date
By
Date
BY
Date
Final - Electrical (4055)
Approved
By
Date
El Rough Electrical
Approved 13 Final Electrical Right of Way
Approved
By Date By Date Approved
By Date