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Project Name: PAULO
Project Address: 31407 13TH SW
Project Description: ELE - Altered 200 amp service
Parcel Number: 416810 0460
Owner
CmmunitFederal Way
Contractor
Electrical Permit #: 02 - 101037 - 00 - EL
QUICK WIRE ELECTRIC
Community Development Services
31407 13TH AVE SW
29724 53RD PL S
29724 53RD PL S
33530 1st Way S
AUBURN WA 98001
AUBURN WA 98001
98023-4507
Federal Way, WA 98003-6210
(253) 887-9650
Ph: 253.661.4000 Fax: 253.661.4129
Inspection request line: 253.835.3050
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Project Name: PAULO
Project Address: 31407 13TH SW
Project Description: ELE - Altered 200 amp service
Parcel Number: 416810 0460
Owner
Applicant
Contractor
Bernardita E Mendieta
QUICK WIRE ELECTRIC
QUICK WIRE ELECTRIC
31407 13TH AVE SW
29724 53RD PL S
29724 53RD PL S
FEDERAL WAY WA
AUBURN WA 98001
AUBURN WA 98001
98023-4507
(253) 887-9650
Electrical Fixtures
ianti!`: ««««< ««< ; :` � �n< ««<€'«««« . i a� € ::" >> >< < < >.e
Low Voltage - Other Residential 1
PERMIT EXPIRES September 4, 2002, IF NO WORK IS STARTED.
Permit issued on March 8, 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: L —_� Date:
3 — l Z-- O 2, Co "%&C. � u vi S �+.
cff•« G_ DECEIVED CONSTRUCTION PERMIT APPLICATION
PPLICATION NUMBER: _ D . -
�� F3Y� MAR 0.8 2002 APPLICKRON NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: -
**Tl -W9 Q EF6T}uired information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
/
PROPERTYINFORMATION
SITE ADDRESS: � / A- 3 6J ASSESSOR'S TAX/PARCEL #: � � � �� �- � Yy.0
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECTINFORMATION
TYPE OF PROJECT (This application): ❑ G ❑ PLUMBING 11MECHANICAL ElDEMOLITION
ELCAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
EXISTING USE:
PROPOSED USE:
■ ' PEOPLE INFORMATION
NAME: DAYTIME PHONE:
P,4 vi- (�'j )
(STREET
MAILING ADDRESS ADDRESS; CITY, SPATE, ZIP):
31 7 /3 t ",g v,�; Sw
NAM
DAYTIME PHONE: 9 I
7 lLs�d
M NG ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
---- - __
FAX NUMBER:
(�,)9t//-4-/i
CONTRACTOR'S REGISTRATION NUMBER: �j
(copy of card required)
EXPIRATION DATE:
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
( )
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
FAX NUMBER:
( ) -
=0R THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: S
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 11 HIGHLINE 0 PRIVATE (SEPTIC)
❑ NO
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT 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)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
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 INSERT(S) 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)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
'ITCCI ATMPAIATGNATURE BLC
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 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 rel" nce of the city, including its officers and employees, upon the accuracy
of the information supplied to the city as a pa of this app cation.
NAME/TITLE: �Z� DATE:
❑ PROPERTY OWNER ❑ APPLICANT
FOR OFFICEUSE ONLY:
COMMUNITY DEVELOPMENT SERVICES . 33S30 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www &wffederalwav_com