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00-105912City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: Project Address: DEBARTOLO 3581118TH SW Electrical Permit #:00 -105912 - 00 - EL Inspection request line: 253.661.4140 (3:30pm cut-off for next day inspections) Parcel Number: 306561 0140 Project Description: ELE - Removed outlets and light fixture on one circuit, removed wall and reinstalled outlets and light fixture Owner Applicant Contractor David E & Susan E Debartolo NONE David E & Susan E Debartolo 3581118TH AVE SW FEDERAL WAY WA 35811 18TH AVE SW 98023-7285 NONE FEDERAL WAY WA Electrical Fixtures I7e;�ori tip. n. Qunti Circuits - Residential 1 ©escri tion . °"�rJ�ili f�uantit PERMIT EXPIRES June 4, 2001, IF NO WORK IS STARTED. Permit issued on December 6, 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 Feder Way Owner or agent: aNR Jg�'__ Date: )ZTI U f Z , 7 _ c� � � �� �� �� u � � f— 1 i �- Jjf — �L� X �if-c ��•� n � oaf- 5 � rs j � �--... ol)c lzx� Rough -in inspection: 64 /1 "W" inspection: /Date Service spectton: V. Date FINAL inspection: Date ovEP ENPa"or � COMMUNITY OTDDEARTMW CONSTRUCTION PERMIT APPLICATION LAYE L PPUCATION NUMBER: DEC 0 6 200 APPLICATION NUMBER: _ - - ------ -- APPLICATION NUMBER: - - **The following is required information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. AA \ I ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ SITE ADDRESS: -� �� 1 � Ih V � �, t �i LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION • ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): 1`F/LiNgA all -1676 `ll. -A-71,- Cts O EX 7571,U14 a> t %5 Liu �rx rr�rz � PROJECT ►'� PEOPLE INFORMATION PROPERTY OWNER: z CONTRACTOR: NAME: DAYTIME PHONE: 'TF3Al2Tc)ID 'D-400 (TO (0 ) 35S - 5300 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): S l I 1 81 AVC 5, �. ot/, ?&d2-3 NAME: DAYTIME PHONE: - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: APPLICANT: NAME: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: ■ DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) i **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACEINSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) 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) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUJNP(S) 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 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 of Federal Way, bu my where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the informati* sup%ed tc the ON as a part of this application. NAME/TITLE: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR DATE: /Z,& /00 COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063.9718 •253-661-4000 • FAX: 253-661-4129