16-104750Electrical
City of Federal Way
Community & Econ. Dev. Services Permit #: 16 -104750 -00 -EL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 L ik-A, 6M.: Inspection Request Line: (253) 835-3050
Project Name: GRAHAM REAL VENTURES
Project Address: 1225 S 356TH ST Parcel Number: 292104 9036
Project Description: Change 200 -amp overhead service to underground for single family residence.
Owner
Applicant
Contractor
GRAHAM REAL VENTURES LLC
A & J BOWERS LLC
A & J BOWERS LLC
1881116TH AVE S
12716 NE 142ND ST
AJBOWL'881K4 (5/28/17)
SEATAC WA 98111
KIRKLAND WA 98034
12716 NE 142ND ST
KIRKLAND WA 98034
t Additional Permit Information
Electrical Work Valuation?...................................2500 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional?.......................No Service greater than 999 Amps? ............................. No
Electrical F
Alt. Serv./Feeder. 0 to 200 amps (F 1
PERMIT EXPIRES F
Permit Issued on Thu
I hereby certify that the above information is correct
the occupancy and the use will be in accordancgm
Owner or agent:
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FOY,
of 1700ralQllay.
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16
on on the above described property and
regulations of the State of Washington
Date: 22 L
• THIS CARD IS TO REMAIN ON-SITE
Federal ~` Construction Inspection Record '
INSPECTION REQUESTS: (253) 83530511
PERMIT #: 16 -104750 -00 -EL Address: 1225 S 356TH ST
Project: GRAHAM REAL VENTURES LLC FEDERAL WAY, WA 98003-7401
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 bott(m). Please schedule inspections as appropriate. Work must not be covered until it is approved Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card
Approved
By Date
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UFER Ground
Ditch cover ()
Temporary Power (4275)
Slab/Concrete Floor (4255)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Approved
By Date
K Ned Ul av s jwci%tloA 11A nU%f OF S } Df 54% wAV .
Pool Bonding (4195)
n
Temporary Power (4275)
0
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date 'q
12-61
1(e
0
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Approved
By Date
K Ned Ul av s jwci%tloA 11A nU%f OF S } Df 54% wAV .
Rough Electrical
Approved
n
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
IDate
By
Date
CITY OF 'A
Federal Way
RECEIVED ELECTRICAL
s�� L 2 2016 PERMIT APPLICATION
% CITY OF FEDERAL WAY
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PERMIT NUMBER 1 _ 6- y _ }
SITE ADDRESS: SS G ai-
SUITE/UNIT/SPACE #
PROJECT VALUATION
R'S TA
ASSESSOR/PARCEL #
CURRENT/PROPOSED USE
$ Som=-
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PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
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Detailed description of work to
be included on this permit only
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NAME
PRIMARY PHONE
PROPERTY OWNER
G4+)-17-&,L9-r5[L
( ) -
MAILING ADDRESS
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/S$ it 16TH
CITY
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STATE
ZIP
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FAX
( )
NAME
/ b- J ot�o m i� LLe-
PRIMARY PHONE
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MAILING ADDRESS
E-MAIL
ELECTRICAL
12--7/& N c -
CITY
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STATE
/i1
ZIP
18x3
FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
A-1aoWL, g1)< -!t
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
%,v
PRIMARY PHONE
-
MAILING ADDRESS
I 2--1 t` N C ILI 2 Aj P7GT
E-MAIL
CITYSTATE
ZIP
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FAX
PROJECT CONTACT
NAME
C �R O W cvz S
PRIMARY PHONE
( ZS) oa i Sl-
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 out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
PRINT NAME: J� 0 �� W6 V 41 ESS
Bulletin # 160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application