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02-102043City 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: VERIZON Electrical Permit #:02 - 102043 - 00 - EL Inspection request line: 253.835.3050 Project Address: 33426 21ST SW Parcel Number: 132103 9100 Project Description: ELE - Install 200AMP raintight panel 120/208V whith transfer switch & 200AMP receptacle. Building located behind firestation. Owner Applicant Contractor CITY OF FEDERAL WAY BREKELECTRIC BREKELECTRIC CITY OF FEDERAL WAY 10701 ALTON AVE NE 10701 ALTON AVE NE PO BOX 9718 SEATTLE WA 98125 SEATTLE WA 98125 FEDERAL WAY WA 98063 (000) 367-8088 Electrical Fixtures CI i t10[1 �� ', � QU # 9, 1011 [1 '. :' QGe#lltl m =;' _ < < w QUdtltl „:. p .. p Description, x.. tY Service/Feeder: 101-200 amps Com t I PERMIT EXPIRES November 12, 2002, IF NO WORK IS STARTED. Permit issued on May 16, 2002 I hereby certify that the above information is correct and that the construction on th/above described property and the occupancy and the us 11 be ' ccordanc with tUe laws, rules nd regulatio& of the State of Washington and the City of Federal A % Owner or agent: Date: L Ine P v r — !/ 1 CONSTRUCTION PERMIT APPLICATION RECEIVED APPUCATION NUMBER: APPLICATION NUMBER: MAY 1 6 2002 APPLICATION NUMBER:— **The following is required information — Please print (in ink) or type** AY Please note: Electrical FiQW60W.. and Engineering permits may require a separate application. SITE ADDRESS: 557—lq �l / b7WV ZKJ ASSESSOR'S TAX/PARCEL #:13 a t o s - '? e,�) LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): FIZ9_443T- TYPE OF PROJECT (This application): DESCRIPTION (Provide detailed VILDING ❑ PLUMBING 11 MECHANICAL 11 DEMOLITION ECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM scripyoun): L CJ��CL "VGAI r4SM 0 PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: DAYTIME E MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IIP):EVE MAILI ADDRESS (SIRE ADDRESS; QTY, SigTi �� EVE( NING PHONE: _ QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ❑ ARCHITECT ❑ TENANT 11OTHER( DESCRIBE): FAX NUM _ E-MAIL ADDRESS: FAX NUMBER: CONTRACi0R5 REGISTRATION NUMBER: ���©/�� C_!Lr EXPIRATION (cDpy of card required) /ATE: / NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, IIP):EVE NING ONE: RELATIONSHIP TO PROJECT: ❑ ARCHITECT ❑ TENANT 11OTHER( DESCRIBE): FAX NUM _ E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR EXISTING USE: PROPOSED USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED• 11 YES ❑ NO WATER SERVICE PROVIDER: 11 LAKEHAVEN 11 HIGHLINE 11 TACOMA ❑ PRIVATE (WELL) . SEWER SERVICE PROVIDER: 11 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ 7� ■ PR03ECT FLOOR AREAS I FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIr(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) FAN(S) HOOD(S) FIREPLACEINSERT(S) RANGE(S) FURNACE(S) GAS PIPE OUTLET(S) PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINKS) SUMP(S) REFRIG.SYSTEM(S) WOODSTOVE(S) MISC. ( ) HEAT SOURCE: ❑ ELECTRIC ❑ GAS URINAL(S) WATER HEATER(S) VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS WASH MACHINE OUTLET WATER CLOSET(S) MISC. ( ) ❑TSCLATMER/STGNATURE RLC 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 v 4iere such claim anut the reliance f the city, including its officers and employees, upon the accuracy of the information s led to pa of is appiicatio . NAME/TITLE: DATE: too ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 980639718 • 2S3-661-4000 • FAX: 253-661-4129 www.dhyof federa lway.00m