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15-102503 • Electrical City of FederCommunity a Econ.oev.Services Permit #: 15-102503-00-EL 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)8 Ph:(253)835-2607 Fax:(253)835-2609 P 4 35050 Project Name: ZELLER Project Address: 2420 SW 319TH PL Parcel Number. 193840 0430 Project Description: Replace Electrical Panel and add 2 circuits. Owner Applicant Contractor GARY J ZELLER AFFORDABLE ELECTRIC AFFORDABLE ELECTRIC 2420 SW 319TH PL 15223 S 276TH PL AFFORE*883L1 FEDERAL WAY WA 98023-2220 FEDERAL WAY WA 98042 15223 S 276TH PL FEDERAL WAY WA 98042 Additional Permit information Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Alt.Serv./Feeder:0 to 200 amps(F 1 Circuits-Residential 2 PERMIT EXPIRES Sunday, November 22, 2015 Permit Issued on Tuesday, May 26, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the will be in accordance with the laws, rules and regulations of the State of Washington d e City of Federal Way. Owner or agent: Date: Y 26 w L !NALED 5 • 4111116. • RECENL'D ELIECTRICAL CITY OF 101111 Federal Way MAY 2 6 2015 PERMIT APPLICATION CITY OF FEDERAL WAY PERMIT NUMBER i 5 _ i O 2 5 O3 _ 0 0 ' ,/iAY SITE ADDRESS: 2 y70 S W 3)q -tk PL Lk/A2e SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE ), £v _ - _ _ PROJECT NAME (Tenant or Homeowner Last Name) Rep t ct c t io, E'Le c 'f'i-i"c c&L. pa vi•e L_ PROJECT DESCRIPTION 7k Q. G'k C w f 5 Detailed description of work to be included on this permit only N PRIMARY PHONE PROPERTY OWNERud�y 2 e 1(2 v- (2 57) 2 q q- 3 2.‘ 2MAIL1NG 1+ 2© ADDRESS s.TYt i� �� E-MAIL C TY "(' STATE ZIP 9 '0 n s FAX C tie ck WA G ( ) _ NAME HONE /jive°rda (e (c c.t1„C ( 73) PRI g(4 P326 MAILING ADDRESS E-MAIL I ELECTRICAL I S 2 2. - 5C 2 76 PC- Q {orc(e(eC1ficQ4Dt irn.Cc t CONTRACTOR CITY y ^ ,T sIN ZIP C V FAX 2 I !lam ( 3) 6 (F4 7 mC (/'RACfO LICENSE N EXPIRATION DATE /• FEDERAL WAY BUSINESS LICENSE# �pCq1 3 C 1J 2 PRIMARY PHONE NAME , rt.dtftz.y y. KJ2 / sem, y ( ?51 ?yq- 32,6 ? APPLICANT MAILING ADDRESS E-MAIL 1S223 5 - 2 7G Pc- CITY Jam- N STATE AZIP qgd (i ( ) FAX NAME r PRIMARY PHONE PROJECT CONTACT /f 0 Vey 2%`I/ S Ki" y y (z5-3, zvq_ 326E 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 Iaws 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 • = es out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city , a part of this application. th - SIGNATURE: n41.1VI DATE PRINT NAME: 13 N l r Y L i-i ;'3 x/'V Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application THIS CARD IS TO REMAIN ON-SITE CITY OF 0 Construction InU ction Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-102503-00-EL Address: 2420 SW 319TH PL • Project: GARY J ZELLER FEDERAL WAY, WA 98023-2220 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. 0 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved ,_B_ ---e: ' Date ....._ (S-------- 0 Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date