16-101039 .L....
lectrical
City of
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Services Permit #: 16-101039-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax(253)835-2809 Inspection Request Line: (253)835-3050
Project Name: HERSHMAN
Project Address: 1010 SW 348TH PL Parcel Number: 542243 0010
Project Description: (1)20amp Disconnect for heat pump install
Owr Applicant Contractor ,
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LOIS F HERSHMAN ALEX BURKHART EVERGREEN REFRIGERATION LLC
1010 SW 348TH PL EVERGREEN REFRIGERATION (ELECTRICAL)
FEDERAL WAY WA 727 S KENYON ST EVERGRL882JB(4/2/16)
98023 SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Electrical Work Valuation? 500.00 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
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PERMIT EXPIRES Saturday, February 25, 2017
Permit Issued on Friday, February 26, 2016
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
n th ral Way.
Owner or agent c Date:
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THIS CARD IS TO MAIN ON-SITE
"TM of Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 16-101039-00-EL Address: 1010 SW 348TH PL
Project: LOIS F HERSHMAN FEDERAL WAY, WA 98023-8410
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.
❑ UFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By .. Date�,o7_ /
E Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date