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00-105396City of Federal Way Conmmnity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: Project Address: METTLE 31452 13TH SW Electrical Permit #:00 -105396 - 00 - EL Inspection request line: 253.661.4140 (3:30pm cut-off for next day inspections) Parcel Number: 416810 0100 Project Description: ELECTRICAL - REPLACE CIRCUIT BREAKER PANEL IN SINGLE FAMILY RESIDENCE Owner Applicant Contractor Gregg M & Barbara Mettle Gregg M & Barbara Mettle OWNER IS CONTRACTOR 6417 25TH ST NE 6417 25TH ST NE TACOMA WA TACOMA WA 98422-3307 98422-3307 Electrical Fixtures Description Qya tti Alt. ServJFeeder: 0 to 200 amps- Res. PERMIT EXPIRES April 29, 2001, IF NO WORK IS STARTED. Permit issued on October 31, 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 Way. Owner or ageDate: —1���� a" Of RECEIVED CONSTRUCTION PERMIT APPLICATION G PLICATION NUMBER: 610 - [ OCT 3 1 2000 PLICATION NUMBER: CITY OF FEDERAL WAY PLICATION NUMBER: BUILDING DEPT. **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. PROPERTY.. SITE ADDRESS: / �!�✓� 4-� ASSESSOR'S TAX/PARCEL #: _ _ _ _ LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ : PROTECT INFORMATION TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION B-L'UECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Zi44cA-Mg F_..L PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: ■ :, PEOPLE INFORMATION NAME: DAYTIME PHONE: ® 46-14-111E,( - MAILING ADDRESS (STREET ; QTY, STATE, ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: — — — — — — — — — CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: NAME: DAYTIME PHONE: - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( - 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: k SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNITS) BBQ(S) BOILERS) COMPRESSOR(S) DUCTS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. ( ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) INTERCEPTOR(S) SUMP(S) WATER HEATER(S) ❑ ELECTRIC ❑ GAS 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 Cityof 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, 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 a part of this application. NAME DATE: PROPERTY OWNER APPLICANT ❑ CONTRACTOR d COMMUNITY DEVELOPMENT SERVICES • 33530 FIP5T WAY SOUTH • P.O. BOX 9718 • FEDEPAL WAY, WA 98063-9718.253-661-4000 • FAX: 253-661-4129