16-100761• ' � Electrical
City of Federal Way*Permit
A nli�can_t
SUSAN DUNHAM
Contractor
BLACK HILLS INC (ELECTRICAL)
Community &Econ. Dev. Services
BLACK HILLS INC
#: 16 100761 -00 -EL
33325 8th Ave S
1003 85TH AVE SE UNIT A
1003 85TH AVE SE UNIT A
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE Inspection Request Line: (253) 835-3050
Project Name: PARK
Project Address: 526 SW 317TH PL
Project Description: Low voltage furnace change out
Parcel Number: 745080 0030
Owner
DAL S PARK
A nli�can_t
SUSAN DUNHAM
Contractor
BLACK HILLS INC (ELECTRICAL)
IN O PARK
BLACK HILLS INC
BLACKFH919DL (3/15/17)
526 SW 317TH PL
1003 85TH AVE SE UNIT A
1003 85TH AVE SE UNIT A
FEDERAL WAY WA
OLYMPIA WA 98501
OLYMPIA WA 98501-5706
98023
Additional Permit Information
Electrical Work Valuation?....................................100.00 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Low Voltage - Other (Residential). 1
PERMIT EXPIRES Friday, February 10, 2017
Permit Issued on Thursday, February 11, 2016
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 eral Way.
Owner or agent:OKI Date:
f �
CITY OF
Federal Way
PERMIT #:
• _THIS CARD IS TOrTS:
IN ON-SITE
Construction In tion Record
INSPECTION REQ (253) 835-3050
16 -100761 -00 -EL
Address: 526 SW 317TH PL
Project: DAL S PARK FEDERAL WAY, WA 98023-4636
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
Slab/Concrete Floor (4255)
®
Rough Electrical (4225)
Final - Electrical (4055)
Approved to place concrete
Right of Way
Approved
Approved
Approved
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Date
By Date
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Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
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