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18-104935Electrical City ofFedeMWay Permit #:18 -104935 -00 -EL community Development Dept. 33325 9th Ave S Fedaat Way, WA 99003 ® Inspection Request Line: (253) 835-3050 Ph: (253) 83rr2607 Fax (253) 836-2609 Project Name: NGUYEN Project Address: 2124 S 277TH PL Parcel Number: 757562 0090 Project Description: Electrical work to include adding (5) circuits in newly created bathroom and bedrooms. Owner Applicant Contractor JIMMY NGUYEN JIMMY NGUYEN OWNER IS CONTRACTOR 2124 S 277TH PL 2124 S 277TH PL FEDERAL WAY WA 98003-6954 FEDERAL WAY WA 98003-6954 Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Residential 5 PERMIT EXPIRES Saturday, 19 October, 2019 Permit Issued on Friday, October 19, 2018 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: 02Q22/' v v / Date: . -, crry OP V& Federal Way THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 1810493500 Address: 2124 S 277TH PL Project: KIM QUY NGUYEN FEDERAL WAY WA 98003-6954 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 UFER Ground (4295) El Ditch cover (4030) Q Slab/Concrete Floor (4255) Service (4235) Approved Approved Approved Approved to place concrete By Date By Date By Date �0 Final - Electrical (4055) Approval By Date 1. i Pool Bonding (4195) ® Temporary Power (4275) © Service (4235) Right of Way Approved Approved Approved Approval Approved By Date By By Date By Date �0 Final - Electrical (4055) Approval By Date 1. i Feeders/Sub-panels (4045) ® Rough Electrical (4225) ® Ceiling Cover (4020) Right of Way Approved Approved Approved Approval Approved By Date By By Date I By Date �0 Final - Electrical (4055) Approval By Date 1. i Rough Electrical Final Electrical Right of Way Approved Approval Approved By Date By Date By Date CITY OF A Federal Way RECEIVED OCT 18 2018 CITY OF FEDERAL WAY COMMUNCTY DEVELOPMENT ELEC'T'RICAL PERMIT APPLICATION PERMIT NUMBER 1 8 _ I D 11535 __5Z, SITE ADDRESS' l7 [� l 1 I# ` SUITE/UNIT/SPACE # PROJECT VALUATION DA, 2 ASSESSOR'S TAX/PARCEL 5 -7 S (o Z CURRENT/PROPOSED USE $ 0 0. _�7 _ b C PROJECT NAME Homeowner Last Name) (Tenant or PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAMEii tt VL(i1n/V tv G ��£� ,'� PRIMARY PHONE 2 3 Sb f PROPERTY OWNER (&3 ) - o MAILING ADDRESS .�`� 17 E-MAIL CITY ST rEZIP FAX NAME u ( PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME - �� �� PRIMARY PHONE rr (2�� ) -� APPLICANT�" MAIL G 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 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: Bulletin #160 —April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application