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02-101761City o`tFederal Way CL4tunwiity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Electrical Permit #:02 -101761 - 00 - EL Project Name: DAVIS Project Address: 30229 21ST S Project Description: ELE - Electrical work for the installation of a hot tub. Inspection request line: 253.835.3050 Parcel Number: 798290 0160 Owner Applicant Contractor Kenneth A & Regina M Davis Kenneth A & Regina M Davis Kenneth A & Regina M Davis 30229 21 ST AVE S 30229 21 ST AVE S 30229 21 STAVE S FEDERAL WAY WA 98003-4249 FEDERAL WAY WA 98003-4249 FEDERAL WAY WA 98003-4249 (253) 529-9485 PERMIT EXPIRES October 23, 2002, IF NO WORK IS STARTED. Permit issued on April 26, 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: Ala i 'J Date: • S A - "— O Z c 4-v S' 1,-- 0 5~f -7/ a te CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: OE 40 DECEIVED PPLICATION NUMBER: _ _ - _ _ _ _ _ - APPLICATION NUMBER: - - **The follbvViA 9 A ir; informatiori - Please print (hi ink) or type** Please note: Electrical, �LegArd Engineering permits may require a separate application. SITE ADDRESS: _ :30 ZZ -9 Z 1 VT' ,At V e S ASSESSOR'S TAX/PARCEL #: -71 A& - Ol� LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROIECT INFORMA71ON TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): El DCIV ICN— t -.)0 4K xveZ SNS-rAL — P V-- 010-r T V 6 - _ PROJECT NAME: PEOPLE•- • PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: DAYTIME PHONE: Ef'j MAILING ADDRESS (STREET ADDRESS- CITY, STATE, ZIP): 30 zz01 -7-1 sr NAME: DAYTIME PHONE: I MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (ropy of card required) NAME: DAYTIME PHONE: ©WA ( ) - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENAN ❑ OTHER ( DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: %;ktROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: 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: 0 LAKEHAVEN 11 HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) 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 LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) URINAL(S) WATER HEATER(S) VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS WASH MACHINE OUTLET WATER CLOSET(S) MISC. ( ) nrscn airm:RIATGNATURE 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 di ty asap of this application. (� NAME/TITLE: %� DATE: PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.cKwffederalway.com