19-103131 ' Electrical
City of Federal Wry Permit #:19-103131-00-EL
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: CAMELOT SQUARE MOBILE HOME PARK SPACE 330
Project Address: 3001 S 288TH ST Parcel Number:042104 9155
Project Description: New feeder for mobile home
Owner Applicant Contractor
CAMELOT SQUARE INC CHARLES JEFFRIESSPARKEY'S SPARKEY'S ELECTRIC LLC
3001 S 288TH ST ELECTRIC LLC SPARKEL954RH(12/11/19)
FEDERAL WAY WA 98003-8019 6826 20TH ST E UNIT 4
FIFE WA 98424 9018 208TH STREET CT E
GRAHAM WA 98338
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Service or Feeder-Manu./M.l 1
PERMIT EXPIRES Saturday,27 June,2020
Permit Issued on Friday,June 28,2019
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
ashington and iry of Federal Way.
Owner or agent: Date:
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-, - 'ilAo, THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103131 00 Address: 3001 S 288TH ST Space 330
Project: CAMELOT SQUARE INC FEDERAL WAY WA 98003-8019
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.
El Slab/Concrete Floor(4255) 0 Final-Electrical(4055)
Approved to place concrete / / Approved
By Date By Date /'..3.-6
0 Rough Electrical 0 Final Electrical [J Right of Way
Approved Approved Approved
By Date By Date By Date
` RECEIVED ELECTRICAL
CITY OF 111111
Federal Way JUN 2 . 2019 PERMIT APPLICATION
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COMMU'v'FY DEvE_CPMEi•;i
PERMIT NUMBER 1 qI_ C 5 / "�j I _ g- 2/
SITE ADDRESS: 300 5 z2(4)1'- ST 11 330 SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ / 5 06 r On a L( 2 I 0 `/ _ `i 1 5
PROJECT NAME Coiptil6-1-(Tenant or Homeowner Last Name) 14 5 A _(,(..a.AsL___
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
N Er PRIMARY PHONE
PROPERTY OWNER 6f-4/11 -Q /d - c (,t ?4) ?3 Z'/ 3 f 0
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
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G ADDRESS
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E-MAIL
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CONTRACTOR C STATE ZIP O (FAX / `�
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TATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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7APPLICANT
MAILING /e $ `� e Fr rt`-e f (Z0 ) !1 I - b O 3
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NAME PRIMARY PHONE
PROJECT CONTACT C 0/ )2.- Q // (7.9 y32, /3 90
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 ci/ including its officers and employees, upon the accuracy of the
information supplied to t city as a part of this application. "�
SIGNATURE: C�Lf - C.DATE 6 ^ /
PRINT NAME: C h g r l -Te FC rC -e S
Bulletin#160—April 14,2016 Page 1 of 1 k:\I-Iandouts\Electrical Permit Application