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04-102289 . r V. City Development Services eveWay CommunityElectrical Permit #:04 - 102289 - 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: BROSSEL DENTAL OFFICE Project Address: 1230 S 336TH SuiteB Parcel Number: 926503 0050 Project Description: Altering subpanel• ' Owner Applicant Contractor HASSEN PROPERTIES INC SHOWTIME ELECTRIC INC SHOWTIME ELECTRIC INC 3727 S 194TH ST SHOWTIME ELECTRIC INC SHOWTIME ELECTRIC INC SEATTLE WA 16170 SE 16TH ST , 16170 SE 16TH ST 98188-5360 BELLEVUE WA (425)603-9627 Electrical Fixtures Description JQuantity Description Quantity Description Quantity Alt.Serv./Feeder up to 200 amps-Co 1 PERMIT EXPIRES December 5,2004. Permit issued on June 8,2004 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: 621W.I Date: 06/o fit/ ci k IN\z4 A,. . 4.. ,Dea 4r...._..., w4.,L` , ...a. Vt.__.., V3V . Co44;Nc-zs .c.Sc 0}4h------- / /Z__se, _O1,( 1" ( iNlopreA4> LED FINA G3\s' \,()Y ACh .0 , of~ - 1b2z2cc( -4(X2FetWay PERMI RersI T ECEIVED SF MF CO MEL DE EN FP COMMUM7Y DEVELOPMENT SERVICES 33530 FIRST WAY,WA 9•8 Po BOX 9718 A P P L I C A T JJ N FEDERAL WAY,WA 98063-9718 TD 253-661-1115•FAX 253661-1129 / wwwdtuoffederalwau corn 8 2004 1 The ollowin• is re•uired in ormation-an inco •tete a•via• ;;, _ not be acce•ted. Please •rint le•ib1 (in ink)or • . PROPERTY.'-\TOF'1a'Et►t Gt 2 �/ . , SITE ADDRESS / 2 3© 5 3 3 ( 6 .i r t 0 SUITE/UNIT# 3 ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legal descnpnon) - PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING ❑ PLUMBING� ❑ MECHANICAL 0 DEMOLITION G/ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) eACs/9tizd cf e—t 41 y4,<<r- t. 41 12- ) 4 sib pm t/ G. dtJ kC., /O-4e4 L o ' PROJECT NAME(Name of Business or Owner Last Name) PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER ( ) - MAILING ADDRESS CITY,STATE,ZIP CONTRACTOR COMPANY NAME PLICANT NAME OFFICE PHONE �{ 5 7 .�tt©�MAILING R7 i �r �ice- f g"4yESS CITY, E,ZI�i,7,51,"p,r (4LPi 5 `62 /G( 7o 5L l6, ' ' c Oje l/e v(�e (-�-, ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER B L / / ( CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other (Describe) ( CONTACT N E // PRIMARY PHONE E-MAIL ADDRESS .I Gy lc 1 7� 5 /y 0-0-g (003 ` y6 27 ,J S��yS C—'>.�.,,c4sl.,rt LENDER Per RCW 19.2Z095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION • EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE a TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)