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16-104849I . w City of Federal way Community Development Dept 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 8352807 Fax (253) 835-2609 Electrical Permit #:16 -104849 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: JACKSONS FOOD STORES Project Address: 1520 S 348TH ST Parcel Number: 889700 0115 Project Description: REP - Replace carwash entry device with new and low voltage CATS Owner Applicant Contractor PACWEST ENERGY LLC COUNTRYSIDE ELECTRIC COUNTRYSIDE ELECTRIC 3450 COMMERCIAL PKWY CT PO BOX 397 COUNTEI893N4 (8/24/17) MERIDIAN ID 83642 JEFFERSON OR 97352 PO BOX 397 USA JEFFERSON OR 97352 USA Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Commercial I Low Voltage - Other (Commel PERMIT EXPIRES Wednesday, 4 Oc Permit Issued on Tuesday, October 7 I hereby certify that the above information is correct and that t structiona described property and the occu aY a the u� in accorda laws, rules ulations of the State of X- 1' / 1�15ington and ederal Wai g Owner or agent: Date: C) r c1/ 1-b RD IS TO REMAIN ON-SITE C" os THIS CA �I WConstruction Inspeciton Record a yo INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 16104849 00 Address: 1520 S 348TH ST Project: PACWEST ENERGY LLC FEDERAL WAY WA 98003-6844 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved Check with your inspector if you are unsuue about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. 0 UFER Ground (4295) ID E Ditch cover (4030) ® Slab/Concrete Floor (4255) Pool Bonding (4195) LIFER Ground (4295) Temporary Power (4275) Ditch cover (4030) By Slab/Concrete Flout (4255) By Date By By Date By Date ® Pool Bonding (4195) ID Temporary Power (4275) © Service (4235) El Pool Bonding (4195) Temporary Power (4275) Service (4235) By Date By Date By Date 0 Feeders/Sub-panels (4045) ® Rough Electrical (4225) ID Ceiling Cover (4020) El Feeders/Sub-panels (4045) Rough Electrical (4225) Ceiling Cover (4020) By Date By Date By Date Final - Electrical (4055) Final - Electrical (4055) By Date Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date . By Date CITY OF Federal Way PERMIT NUMBER C C _ ELECTRICAL PERMIT APPLICATION RECEIVED �r,q Eqa _ 9, OCT 03 2016 SITE ADDRESS: 1 � o b li Ili I , . \ Q CDS 1 0`� K J PROJECT VALUATION 1 �C)06 00 / ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE — — — — G PROJECT NAME (Tenant or Homeowner Last Name) l �1 Q,L' JQnel- PROJECT DESCRIPTION Detailed description of work to be included on this permit only f J /_ ' cx j � c �'l(:gv PROPERTY OWNER NAME PRIMARY PHONE ( ) - MAHdNG ADDRESS E-MAIL CITY STATE I ZIP FAX ( ) ELECTRICAL CONTRACTOR NAMEE,C0AA�V_,)jE � � PRIM�A/RY P%HOCN/E ` / - . 1 �_� ING 3 1 E-MAIL � 73 ' ( ) FAX WA ATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT NAME PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP (/ FAR 1 ) - PROJECT CONTACTIto N I I PRIMARY PHONE ) 7 I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 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, but only where such claim arises oTr-Df-4he reliance of the city, including its officers and employees, upon the accuracy of the information supp—lie4to t4 city as o his application. PRINT NAME: Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\F3andouts\Electrical Permit Application