16-104749City of Federal WayL
3
Community & Econ. Dev. Services
E
33325 8th Ave S
AJBOWL*881K4 (5/28/17)
Federal Way, WA 98003
KIRKLAND WA 98034
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: GRAHAM REAL VENTURES
Project Address: 1225 S 356TH ST
Electrical
Permit #: 16 -104749 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 292104 9036
Project Description: Change 200 -amp overhead service to underground for shop building.
Owner
GRAHAM REAL VENTURES LLC
Annlicant
A & J BOWERS LLC
Contractor
A & J BOWERS LLC
18811 16TH AVE S
12716 NE 142ND ST
AJBOWL*881K4 (5/28/17)
SEATAC WA 98111
KIRKLAND WA 98034
12716 NE 142ND ST
KIRKLAND WA 98034.
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
Electrica
Alt. Srvc / Feeder 0 to 200 amps (C 1
PERMIT EXPIRES Friday,
Permit Issued on Thursday,
I hereby certify that the above information is correct and
the occupancy and the use will be in accordance v4M
Owner or agent:
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AGI
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Federal
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•trun the above described property and
I�ulations of the State of Washington
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Date: ✓ ZZ-
OWNWO&
MY! Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
]INSPECTION REQ TS: (253) 83530M
PERMIT #: 16-104749-WEL 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 bottom). 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.
11
GroundUNR
Ditchcover (4
Temporary Power (4275)
a oncrete Floor (4255)
Q
Approved
By
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
Q
Service (4235)
By
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By V4
Date -q1241,
0
Rough Electrical (4225)
0
Ceiling Cover (4020)
Approved
Right of Way
By
Approved
By
Date
Date
By
Date
*NGcd BollsvAs IN.tW14' % F64 * h%4w + Dwcz,KwAv.
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITY OF 1A
Federal Way
RM° ELEC'TRICAL'
SEP 2 2 2016 PERMIT APPLICATION
CITY OF FMERAI WAY
PERMIT NUMBER _ %�� _ o C
SITE ADDRESS: 3,S -01 -,
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SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOOWS TAR/PARCEL ##
CURRENT/PROPOSED USE
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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
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MAILING ADDRESS
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STATE
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FAX
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NAME
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PRIMARY PHONE
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MAILING ADDRESS
E-MAIL
ELECTRICAL
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CITY
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STATE
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ZIP
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FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
A2 Bow
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
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PRIMARY PHONE
( ) -
MAILING ADDRESS
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E-MAIL
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PROJECT CONTACT
NAME
J E R,R ow Cv- S
PRIMARY PHONE
( ZS) 4 15_4,L/
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: —
Bulletin # 160 —January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application