04-101649 1
ederal Way
o unity Development Services Electrical Permit #:04 - 101649 - 00 - EL
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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: AT&T WIRELESS#SS64 "Lakota Site"
Project Address: �-ti de./ Parcel Number: CITY WIDE
Project Description: Installing new 30 amp,2 pole,240 volt circuit for the new cell site located along SW Dash Point Rd,500
feet South of Lakehaven Treatment Facility,Gate 3.
Owner Applicant Contractor
PUGET SOUND ENERGY MAJOR ELECTRIC INC. MAJOR ELECTRIC INC.
29209 18TH AVE S MAJOR ELECTRIC INC. MAJOR ELECTRIC INC.
PO BOX 97034 OBC-IIN 18612 142ND AVE.NE. 18612 142ND AVE.NE.
BEELEVUE WA 98009 WOODINVILLE WA 98072 (425)483-2677
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service/Feeder: 0-100 amps-Comm. 1
PERMIT EXPIRES October 31,2004.
Permit issued on May 4,2004
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 accor ce with the laws,rules and regulations of the State of Washington and
the City of Federal W
Owner or agent: Date: 5 - 1 -
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FINALED
CONSTRUCTION P M T APP I TIO
TY OF ter- RECEIVED APPLICATION NUMBER: rj - L0.160 -3( - /�_ 6Z
ederal Way C1
MAY 0 4 2004 APPLICATION NUMBER: - -
1APPLICATION NUMBER: -
WAY
**The foIlGgJfr flormation-Please print(in ink)or type**
�UttLDING
Please note: Electrical, Fire Preven Ion Systems and Engineering permits may require a separate application.
. . • : . , '-,,•,'_-- ■ PROPERTY INFORMATION . -. .. .
SITE ADDRESS: SaVr .fi( rC>I/JT t1 5� ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
11 Wr CC:=LL S/7Z
• % - - = - I . • - ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL a DEMOLITION
Crir4LECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIO!(Provide detailed description): Pdeat,019-• r _TA,sr/ L1_ C/) 3 AV? 2pc10---
zYc L4-T cJI t) / T-
i
PROJECT NAME: SSS 6c-ii / iewoy4
■ PEOPLE INFORMATION
PROPERTY OWNER: NAMI, ; DAYTIME PHONE
7-7- 1,Ji2&..-c=E SS cc ) S7( - Gp7(;
MAILING ADDRESS(STREET ADDRESS; STATE,ZIP):
/5 7z f /y.24-" -yfr- � �.--A-- r'TAP 7
i CONTRACTOR: NAME: DAYTIME PHO -'
1. /U1 0 & 7,6-7/c_ ( 3-) MS 20 7 7
MAI ADDRESS(STREET ADDRESS;CIP): i EVENING PHONE
I CITY OF FEDERAL WAY BUSINESS LICENS NUMBER: FAX NUMBER:
/?-�/8 -/05-o i—C C fly - i ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) /�/ 0. 4 &2-0 K/ 6�-( / /
APPLICANT: NAME: DAYTIME PHONE
44 to AS 0CA )elQ ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE
( )
RELATIONSHIP TO PROJECT: j FAX NUMBER
O ARCHITECT a TENANT o OTHER( DESCRIBE): ? ( ) -
E-MAIL ADDRESS: I
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER O APPLICANT ❑ CONTRACTOR
- - - - ■ DETAILED BUILDING INFORMATION - - " - - -
EXISTING USE: cel Sr - EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 79coc
PROPOSED USE:C�j(U f1,.ildei(Lc �2"t -e PROPOSED VALUATION FOR IMPROVEMENTS: $ �ceg —
SPRINKLERED BUILDING? o YES ,a,AIO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 4:67]I0
WATER SERVICE PROVIDER:A1F a LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) •
SEWER SERVICE PROVIDER://-P ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)