15-105110City of federat Way,
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Project Name: HORROR LAKE VILLAGE
Project Address: 840 SW 312TH ST
Project Description: Hookup 100A for job trailer
Electrical
Permit #: 15 -105110 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 072104 9088
Owner
Applicant
Contractor
MIRROR LAKE VILLAGE LLC
RACHEL HANSON
MERIDIAN CENTER ELECTRIC INC
PO BOX 6961
MERIDIAN CENTER ELECTRIC
MERIDCE318SG (2/28/17)
BELLEVUE WA 98007
11109 66T14 AVE E
11109 66TH AVE E
PUYALLUP WA 98373
PUYALLUP WA 98373
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Temp. Service: 61- 100 amps (Cor 1
PERMIT EXPIRES Monday, April 4, 2016 .
Permit Issued on Wednesday, October 7, 2015
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
and the City of Federal Way.
Owner or agent: I I I h I r7o Date:
U IN Ll I N L-
FINALED
CITY OF 40&
Federal Way
THIS CARD IS TOIN ON-SITE
Construction In ction Record
INSPECTION REQU TS: (253) 835-3050
PERMIT #: 15 -105110 -00 -EL Address: 840 SW 312TH ST
Project: MIRROR LAKE VILLAGE LLC FEDERAL WAY, WA 98023-4515
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.
Final - Electrical (4055)
Approved
By VW> Date 10 112 115 -
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By VW> Date 10 112 115 -
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
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 VW> Date 10 112 115 -
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
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Date
By
Date
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