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00-105892City Federal Way Commununity Development Services Electrical Permit #: 00 -105892 - 00 - EL 33530 1st Way S Federal Way, WA 98003-6210 Inspection request line: 253.661.4140 . Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections) Project Name: DEMARWOOD ADDITION, LOT 11 Project Address: 29852 10TH SW Parcel Number: 195460 0196 Project Description: EL - Electrical for new single family residence. Owner Applicant Contractor OSWALD GRANT CONSTRUCTION INC NONE OMEGA INDUSTRIAL CONTRS INC. 1901 SW 22ND PLACE RENTON, WA 14037 205TH AVE NE 98055 NONE WOODINVILLE WA 98072 Electrical Fixtures Description - Description Quanti Descriptjon Quantity Service: - Residential PERMIT EXPIRES June 3, 2001, IF NO WORK IS STARTED. Permit issued on December 5, 2000 • 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 Owner or agent: Date: — — • d �/ , ,Tc'�'d/t � ys � �� � c✓tom— �'._. �C C S -o u ou� Z 0 ■ CONSTRUCTION PERMIT APPLICATIC f7=L- PLICATION NUMBER: )Q = L 4 J _N 2 -F.L CATION NUMBER: -DP _ - LTCATION NUMBER• - - **The following is required information - Please print (In ink) or type** Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application. PROPERTY•• • SITE ADDRESS: �$• S 2 - / f� r4ve, ASSESSOR'S TAX/PARCEL #: _p _ _ __ _ _ - _ _ _ LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROUCT INFORMATION TYPE OF PROJECT (This application): M ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 'ELECTRICAL ❑ ENGIIN. EERING❑l FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Providedetaileddescription): PROJECT NAME: PEOPLE•• • PROPERTY OWNER:NAME: DAYTIME PHONE: /) i. i ) n ) d r 2Q Av / C©r j / )e- u C T1 © .V ( CONTRACTOR: MAIUNG ADDRESS (STREET i Ro 1 sF, NAME: DM iFG MAILING ADDRESS (STREET / 9037 - C[TY OF FEDERAL WAY BUST SS; CITY, STATE, IIP): 35; CITY, STATE, ZIP): 05- .4v APPLICANT: KAMr MAILING ADDRESS (STREET ADDRESS; CITY �zo S /0 RELATIONSHIP TO PROJECT: ❑ ARCHITECT ❑ TENANT : //,5 - STATE, IIP): e vzl 5 ❑ OTHER( DE -9 0 ----------------- acCZD ) 770 -5��� FAX NUMBER: EXPIRATION DATE: G 4 / Al S 9, 1,0 /o/ (2,,-)&)7T0 EVENING PHONE: •`,vi � lY14 (� ��� ��7i 0 CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT .CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: EXISTING BUILDING ASSESSED/APPRAISED VALUATION ❑ YES ❑ NO ❑ LAKEHAVEN ❑ LAKEHAVEN PROPOSED VALUATION FOR IMPROVEMENTS: FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ 3 HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) 3 HIGHLINE ❑ PRIVATE (SEPTIC) `'•' **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. • TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEMS) BBQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILERS) THIRD RANGE(S) MISC. COMPRESSOR(S) FOURTH DUCTS) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS DECK BATHTUB(S). GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHER(S) TOTAL VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) ITSCLATMERIATGNATURE SLC I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any daim (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 of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information�hpplied to the city as a part of this application. NAME/TITLE: ❑ PROPERTY OWNER ❑ APPLICANT IF +CONTRACTOR DATE: COMMUNITY DEVELOPMENT SEmces • 33530 Futsf WAY SOUTH • P.O. BOK 9718 • FeDm& WAY, WA 98063.9718.253-661-4000 • FAX: 253.661-4129 Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. COMPRESSOR(S) FURNACES) DUCTS) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S). LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. INTERCEPTOR(S) SUMP(S) ITSCLATMERIATGNATURE SLC I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any daim (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 of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information�hpplied to the city as a part of this application. NAME/TITLE: ❑ PROPERTY OWNER ❑ APPLICANT IF +CONTRACTOR DATE: COMMUNITY DEVELOPMENT SEmces • 33530 Futsf WAY SOUTH • P.O. BOK 9718 • FeDm& WAY, WA 98063.9718.253-661-4000 • FAX: 253.661-4129