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02-102240City of Federal Way Conon- ity Dvelopme>11Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: 7-11 STORE #26268 Project Address: 28719 MILITARY S Electrical Permit #:02 -102240 - 00 - EL Inspection request line: 253.835.3050 Parcel Number: 332204 9161 Project Description: ELE - Alteration of circuits for the installation of (3) rooftop condensing units and "Slurpee" machine for existing store. Owner Applicant Contractor THE SOUTHLAND CORPORATION POINTER ELECTRIC INC POINTER ELECTRIC INC 13845 RECTOR RD 13845 RECTOR RD BOW WA 98232 BOW WA 98232 (360) 757-1300 PERMIT EXPIRES November 26, 2002, IF NO WORK IS STARTED. Permit issued on May 30, 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: Date: 0 6 0< - vii –^- — RECEIVE? CONSTRUCTION PERMIT APPLICATION [PPLICATIONNUM LICATION NUMBER: Q Z - / 42ZZ 6- 40 tZ MAY 3 0 2002 LICATION NUMBER: - ---- -- CITY OF FEDERAL WAY BER:. **The followingw�iNQIW&ation - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. G PROPERTY INFORMATION SITE ADDRESS: - Z �l -` L �T�L� TLD- So _ ASSESSOR'S TAX/PARCEL #: Z 2. D LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT (This application): ❑ B XLDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ®!ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): W ! 0- f -5—f:::z Cn— K)'D S 6, y a- P4 e X Or 7ACr 4ff� A A 9oez)f:7- 7 ,-,-3 tP �r aP- Pow rc��j r-)��/Qs PROJECT NAME: -1 - ll S'ToeC '*Z6 PROPERTY OWNER: CONTRACTOR: APPLICANT: ■ PEOPLE INFORMATION NAME:If , J DAYTIME PHONE ( CFi/l �% ( ,) �535MAIU SS (SWET ADPVV04D' � STATEZIPI IA,I�.,Ut1 � LJ 14 9 6 Com?. NA1-�J y I , ` N T E� � 1 Jt_� j (`I L DAYTIME PHONE* (am) /,It �Y-7 MAILING ET ADDRESS; CITY STATE, ZIP): 1 a,.;,f j A Et6JOL JP -a r?3W t,AJ ?(37> 2 EVENING PHONE: ( ) - CnY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 62-ao7,- VZ- t o I 'f Gz- d0 — — — — — — — FAX NUMBER: ( ) - CONTRACTOR5 REGISTRATION NUMBER: 1— (cPY of card required) 1—�� I 1 = -D C EXPIRATION DATE: MAILING:CITY. STATE, ZIP): I EVENING PHONE: 1 / VJ^) QW RESS V S J ' � ^7 ') pe1 (�1 i S� 8%�� - RELATIONSHIP TO PROJECT: ��l / 11 ARCHITECT 11 TENANT THER ( DESCRIBE):eLIF'-?� u(�jFAXG NUM ��% S�/y CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR 1 ■ DETAILED BUILDING INFORMATION EXISTING USE: PROPOSED USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER: PROPOSED VALUATION FOR IMPROVEMENTS: FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC) ( **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT _ FDaURES Indicate number of each type of fixture FIRST AIR HANDLING UNIT(S) SECOND GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) THIRD HOOD(S) WOODSTOVE(S) BOILERS) FOURTH RANGE(S) MISC. ( ) COMPRESSOR(S) OTHER FLOORS (DESCRIBE) DUCT(S) DECK HEAT SOURCE: ❑ ELECTRIC ❑ GAS GARAGE HOW MANY FLOORS? BATHTUB(S) TOTAL: URINAL(S) WATER HEATER(S) DISHWASHER(S) DISCLAIMER/SIGNATURE BLC 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: FC ��. 1 (f;"ojDATE: 15- ❑ PROPERTY OWNER ❑ APPLICANTONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL. WAY, WA 98063-9718 •253-961-4000 • FAX: 2534661-4129 www.ctyoffedC!:alway.com FDaURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(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) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) DISCLAIMER/SIGNATURE BLC 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: FC ��. 1 (f;"ojDATE: 15- ❑ PROPERTY OWNER ❑ APPLICANTONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL. WAY, WA 98063-9718 •253-961-4000 • FAX: 2534661-4129 www.ctyoffedC!:alway.com