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02-102763 City of Federal Way Community Development Services Electrical Permit #:02 - 102763 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050 Project Name: BELMOR MOBILE HOME PARK SPACES 171 & 172 Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE-Replace meter pedestal for mobile homes-SPACES 171 & 172. Owner Applicant Contractor BELMOR HOLDINGS LTD SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC 1571 BELLEVUE AVE W SUITE 210 PO BOX 3630 PO BOX 3630 VANCOUVER CN KENT WA 98032-0210 KENT WA 98032-0210 (206)878-7333 Electrical Fixtures r,, Description ; „ �� WrttiVeStripsoription = ]Quantity Description "":4:::- Service -..Service or Feeder-Manu./M.H.Park 2 PERMIT EXPIRES December 28,2002,IF NO WORK IS STARTED. Permit issued on July 1,2002 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. C Owner or agent: See Application Date: ;::,r � d t-'; ...„, � CONSTRUCTION ''' ;".,i,- _�-�---- � G PERMIT APPLICATION ,•_. :';,,.¢.�:,.VV Fay � �•y t APPLICATION NUMBER: fl . - l�2�r1.� -�Gd °t:'- .'•;''"`' � : • ��� 1 "� �*( APPLICATION NUMBER: T pE��'�'1: : • APPLICATION NUMBER: 014 OFF p - - - - - - - - **The followil�% information—Please print(in ink)or type** '"- s,, ;, Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION "' '• SITE ADDRESS: 3(��! ASSESSOR'S TAX PARCEL#: •i' 5 . ' - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): It,..-:!:i: ,,,,,,,,,,: : = = ■ PROJECT INFORMATION . " ' TYPE OF PROJECT is application): ❑ ', i BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION t; ELECTRICAL' ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM CT DESCRIPTION(Provide detailed description): / 1--(4C.—-Q_ rn.���(j— L meg, t. 4 fi$ I t '. f" , PR07ECT NAME: ., �-v ��`. r, � 4 ■ PEOPLE INFORMATION ,, , i,;n ;4.: ii,PROPERTYOWNER: NAME: F4DAYTIME PHONE: �, ''r K�`�r�cc71^, w, l (aO) - ' ,4 LINO ADDRESS STREET AOOR 1 CITY, ATE,ZIP): rg: " , 7 o! §E 3 a '/.->r •..:044,40 = ,vim rte- `17.003 1:::‘!:;-:.4'. ew � ••'-CONTRACTOR: NAME: cry 5�A g-� I- L c DAYTIME PHONE: t.z.` ii y'�h,i : • MAILING (STREET ADDRESS;QTY,STATE,ZIP ,: , Na�) NE -73 33 } f„;., PHONE: ( ) , `,'`i L, QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: . r k FAX NUMBER: G ,..,-,::,',2.,tCONTRACTORS REGISTRATION NUMBER: •-+ •••i s- • l EXPIRATION DATE: • • , . . (000voTnrd required) " t� ' p p.� 65..5-.4a- 0 07 131 I 03 APPLICANT: NAME: DAYTIME PHONE: - • , ( ) - MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: V' :r ( • RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ?j '• E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER .•,'-.0,APPLICANT ACONTRACTOR ■ DETAILED BUILDING INFORMATION • EXISTING USE: EXISTING BUILDING_ASSESSED/APPRAISED VALUATION $ I,,,,•. PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO , FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO i. V WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE C7 TACOMA 0 PRIVATE(WELL) „�.• SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) iii, Irk. **NEW RESIDENTIAL CONSTRUCTION ONLY** ' NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ It ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. _ PROPOSED SQ.FT. TOTAL BASEMENT . FIRST SECOND ' THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE • HOW MANY FLOORS? TOTAL' ,.......,.. _ .. ... ... �. ...•. �ti•.L.FIXTURES,:r. <. .,�: . ....,,.. ... >.:3 : , :,..,r-�x�.,-..r, ... >.,. . .r.<.,.. Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) ' DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) • • ■ .DISCLAIMER/SIGNATURE BLOCK 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 daim(induding costs,expenses,and attorneys'fees Incurred In the Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information s • • led to the city as a r art of this application. 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