02-102284City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:02 -102284 - 00 - EL
Project Name: STERLING SAVINGS
Project Address: 31620 23RD S Suite110
Project Description: ELE - Install of data and telephone cabling
Inspection request line: 253.835.3050
Parcel Number: 092104 9051
Owner
Applicant
Contractor
STERLING SAVINGS
B & C TELEPHONE INC
B & C TELEPHONE INC
STERLING SAVINGS
410 S 96TH ST SUITE 5
410 S 96TH ST SUITE 5
111 N WALL
SEATTLE WA
SEATTLE WA
SPOKANE WA 99201
(206) 763-9991
Electrical Fixtures
V.W ,
f UlrsG i iO,„„tl ,. x..M'
Low Voltage - Other Commercial 2500
PERMIT EXPIRES November 30, 2002, IF NO WORK IS STARTED.
• Permit issued on June 3, 2002
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: (� 1 Date: 4
RECEIVED
a"CW G CONSTRUCTION PERMIT APPLICATION
VV F15, -L J U N O 3 2 O G APPLICATION NUMBER: OT
OF FEDERAL WqY PPLICKHON NUMBER:
BUILDING DEPT.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.
SITE ADDRESS: JI 7-0 2?5Q2 Ne IS S"Ac 1I0 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
'ID.ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): IDCLN-ck J- �tCA t I V\L,-
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
NAME:
arc. - e\ � vk-
DAYTIME PHONE:
CLfXe ) 76 - Cj�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE,P): Cie
L410u 5 to'-� 'S�; r Ci 10
NING PHONE:
`J -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAXNUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(cWy of Ord required)
APPLICANT: NAME:
G1sO V--, 3CM`li 1' S
MAILING ADDRESS (STREET ADDRESS; CRY, ST TE, ZIP):
10 S Cl (a u� QIP. WA 01910
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
USE:
PRVICE PROVIDER:
SERVICE PROVIDER:
EXISTING
❑ YES "" �❑
❑ LAKEUAVI
FIRE St
❑ HIGHLINE
❑ HIGHLINE
;SED/APPRAISED VALUATION
TION FOR IMpRevgP #
DAYTIME PHONE:
Cl ) -Z3
EVENING PHONE:
UM ) 7 1 k/ - OS'Z'j
FAX NUMBER: mss,
0.00
E-MAIL ADDRESS:
TACOMA/IJ PRIVATE (WELL)
PRIVATE (SEPTIC)
❑ YES
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $.
OR
EXISTING SQ. FT.
PROPOSED SQ. FT.
L
BASEMENT _
FIRST
SECOND
THIRD
FOURTH
J /
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLI UNIT(S) EVAPORATIVE COOLERLOG
(S) GAS LOS) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILE ) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COM ESSOR(S) FURNACE(S)
D (S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINKS)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEA R(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 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, 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/TITLE: eG� \ C�\ CN�� DATE:
❑ PROPERTY NER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33SM FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718.753-661-4000 • FAX: 253-661-4129
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