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15-103533 • S Electrical City of Federal Way Community&Econ.Dev.Services Permit #: 15-103533-00-EL 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2807 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: KELLY Project Address: 3803 SW 327TH ST Parcel Number. 873195 1240 Project Description: Replace electrical panel.Add proper grounding and conding.Connect existing circuits only. Owner Applicant Contractor MARGARET KELLY WILL HANSEN A C ELECTRIC SERVICE 3803 S 327TH ST A C ELECTRIC SERVICE CELECCE873OZ (9/9/15) FEDERAL WAY WA 20012 35TH AVE S 20012 35TH AVE S SEATAC WA 98198 SEATAC WA 98198 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 18 PERMIT EXPIRES Saturday, January 16, 2016 Permit Issued on Monday,July 20, 2015 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 agen • / �IIi,� Date: 'CJ " ZVec FINALED THIS CARD IS TO RE ON-SITE-.4-IA , CITYConstruction Inspon Record ' Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-103533-00-EL Address: 3803 SW 327TH ST Project: MARGARET KELLY FEDERAL WAY, WA 98023-2612 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. O LIFER Ground(4295) "0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date . . , . ♦ . O Pool Bonding(4195) 0 Temporary Power(4275) '0 Service(4235) Approved Approved Approved By Date By Date By Date O Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date Final-Electrical(4055) Approved B. ---C... Date CI_ —fc----- l 1 O Rough Electrical El Final ElectricalEl Right of Way Approved Approved Approved By Date By Date By Date 1110 . RECEIVED ELECTRICAL CITY OF Federal Way JUL 2 0 2015 PERMIT APPLICATION Cmr,,t- ,-r�,E:RA PERMIT NUMBER , 5 _ i C . 5 3 3 (i `� SUITE/UNIT/SPACE# SITE ADDRESS: 5�© 5 S c.,J -52_1:44- 5 PROJECT VALUATION ASSESSOR'S TAX/PARCEL it CURRENT/PROPOSED USE $ ''oa 51 1 3 t 9 5 _ Z Li 0 PROJECT NAME I ((` \1 (Tenant or Homeowner Last Name) Y�Q l ( 12—t-Ao.c.C._ L' leLk-cs,cc ;'ctivkC`. Q�,, ,c-o(J.es cocAvIJ (43 a PROJECT DESCRIPTION 6,,, i vl_ Lo`,e_ k e_tc'`,k.-5 c-`r(-`t`i` .-) `. - r_ Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Aka rel ceA-- ih-e(ky (Z� ) 3.3i( - (c.-Z1 MAILING ABbEESS ( E-MAIL G Aka CD 1 r 4 Z3 0 Icy Loci.co v� ` -\ 1-L \ 7 1 CITY STATE ZIP J FAX - -- - NAM -- - PRIMARY PHONE L 6-1eck r L r%/ (2.x.) 3`tel- t6474- MAILING 6S4- MAILING ADDRESS E-MAIL ELECTRICAL Zoo k1...... ---5-31- A CONTRACTOR CITY nATE ZIP FAX + cA c 1 6t? ( ) - 110O(YO(^ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# VI/ L�%� �C� � �0T- 5 / '1 / ( - __ _ _.. .. .._ NAME - - - - ---. _ PRIMARY PHONE APPLICANT I/3 'll ��°i v`yew (Zz ) 3`('ii- (6,-C, 4- 2 MAILING ADDRESS E-MAIL p1 C 13 CITY STATE ZIP FAX ( ) NAGE PRIMAYV PHONE PROJECT CONTACT /n 5 fc 4 gp ( ) 5 _ /.2-'fl 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 a part of this application. SIGNATURE: % -� v DATE Z° A J ' PRINT NAME: t' (( 4'-.75-e."-- Bulletin +S-e✓'Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application