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02-102756 City of Federal Way Community Development Services Electrical Permit #:02 - 102756 - 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 SPACE 103 Project Address: 2101 S 324TH Parcel Number: 162104 9037 Project Description: ELE-Replace meter pedestal for mobile homes-SPACE 103. 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 J -=__r-D.escciptii n:>, gracility r .t a scriptioni 7. Description" =_Quantity Service or Feeder-Manu./M.H.Park 1 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. Owner or agent: See Application Date: — ��_ cX r J C •At.. J av .r� <\./ J rRG RECEIVED CONSTRUCTION PERMIT APPLICATION uV SHL APPLICATION NUMBER: OZ. -�(� 7Sti_41)-_ JUL 0 1 2002 APPLICATION NUMBER: - - CITY OFFEDERAL WAY APPLICATION NUMBER: - - **The followin$1�Igormation—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. L:3 ■ PROPERTY INFORMATION SITE ADDRESS: D.-/C„, 3(� ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): _ ' ' ■ PROTECT INFORMATION • - . • TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION pit ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): a/" C-e4 G - _ Ar _.e... .-e-u- " _e.d .„, ,../.- v- Atv bt ie wL.e ate.-e- dep PROJECT NAME: 5..el lite)k's Pds V l` ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: aet DAYTIME PHONE: vkor. f?...... l< (ass) - MAIUNGADDRESS(STREET ADDRESS;CITY, ATE,ZIP): a-r dl 3, 3aY# f--iu x!'i - 2.7_003 CONTRACTOR: NAME:fDAYTIME PHONE: -e MAIUNG ADDRESS(STREET 1 C.s cv�r �1`. G206)2 -73 33 E,ZIP): EVENING PHONE: ( QTY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:: gQ - 11018Qb - Qd Vv,6)S2S -7c7 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card red) 5 bE C E P N_ 6.5 5- a- 9 07 /3 / / 0 3 APPLICANT: NAME: DAYTIME P1HONE: MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): (EVENING PHONE: RELATIONSHIP TO PROJECT: (FAX NUM - 0 ARCHITECT 0 TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ACONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGIILINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PRO]ECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL _ BASEMENT • FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE . HOW MANY FLOORS? TOTAL: 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 dty,induding its officers and employees,upon the accuracy of the information s ` - led to the dty as a i art of this application. NAME/TITLE: .�r �,��/ DATE: S / > o �--- ❑ PROPERTY OWNER 0 'PPLICANT ❑ CONTRACTOR r • tEQRiOF CE USETONL'YiAll . al..... © .b rrolairlia f1L ERJI00 HHVOYE METthoi' f6 NUS OM)Jr!'ti:`1 "t.:' � •. - y' , ,Yr _{ „h:¢ �.s-..•-`r'�'W �•�.'q .� �y _ /+ N' -i , 1,- Ar : , _ r te �• , �'"I i+� 3 E INO - }' ._._.. Mr•rs [.�ba'W.7—§-1 n "LF {kr .rJ Eby. - �3 �'nx. ' .t • SECT.O i O.W.F5 IP;F "1:ftkrid 31 1317 WM. bRESS =EQUIR b71"a' Vil .EES' r 4i3O Kira 'eot.gtaitifittakallit3.1RIARIZECtr COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO OOX 9718•FEDERAL WAY,WA 98063-9718•253.661-4000•FAX:253-661-4129 www.dtvoffederalwaYSo