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19-103646
I. T Electrical City of Federal Way Permit #:19-103646-00-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: COMFY DENTURE AND HEARING Project Address: 30810 PACIFIC HWY S Parcel Number: 785360 0240 Project Description: Replacing meter base. Owner Applicant Contractor GOLDEN PROPERTY MANAGEMENT ANDY DEWEYERTT TOWN ELECTRIC T TOWN ELECTRIC LLC(01) 29500 PACIFIC HWY S UNIT L LLC(01) TTOWNTE882O1(9/27/20) FEDERAL WAY WA 98003 1520 N MONROE ST 1520 N MONROE ST TACOMA WA 98406 TACOMA WA 98406 Additional Permit Information Is this an Online or O.T.C.application Yes `; "•: "74 `kt, z<'' Oi'A » k� �Mat-,,,C" `mi':::"% ''':J .N4 ;,' . Va '4 ;,AVIiR :: 'a' N , Tat� � :x �n,'' . �i ,Ae.' .:� .,', ?is;i� v " I ;t: aX. a. ""f: Mast or Meter Repair(Comme 1 PERMIT EXPIRES Wednesday,29 July,2020 Permit Issued on Tuesday,July 30,2019 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 Washington and the City of Fe.eral Way. Owner or agent: ' Dater ''.3 t2 4ATHIS CARD IS TO REMAIN ON-SITE Federal W Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 103646 00 Address: 30810 PACIFIC HWY S Project: GOLDEN PROPERTY MANAGEME FEDERAL WAY WA 98003 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 Rough Electrical(4225) 0 Fiaal-Electrical(4055) Approved A.. oved By Date By Date 0- a • El Rough Electrical 0 Final ElectricalElRight of Way Approved Approved Approved By Date By Date By Date CITY OF RECEIVED ELECTRICAL Federal Way PERMIT APPLICATION JUL 302019 CIN OF FEDERAL WAY / 0 3 / ,Gf j �_ 50 COMMUNITY DEVELIP�A�IITUM -BER / (� SITE ADDRESS: %.,s,0 17& -(-k SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL CURRENT/PROPOSED USE $ ton Q-° — - — — — PROJECT NAME ' V (Tenant or Homeowner Last Name) . i'�/Vt �'Vlv�Q►,��t_ / bee-hit ge.ax V ('‘9s PROJECT DESCRIPTION 1`e Pia GL 1/1 cue t SC Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDRESS E-MAIL 3©$/O Pa c Irl 7' s CITY STATE ZIP FAX red t•-)y 'w A - ( ) - NAME PRIMARY PHONE T- Tows" l e G+b.� LI.. C ()33) , 3a3$ 3 MAILING ADDRESS E-MAIL ELECTRICAL 1S,ZO Al Yam �T . . Go r-L CONTRACTOR CITY STATE ZIP FAX -Pt i= wR W4/o6 ( ) - WA STATi��CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# STc7f d- NAME PRIMARY PHONE APPLICANT ( ) MAILING1 ADD (1:1E-MAIL CITY STATE ZIP ( FAX l ) NAME PRIMARY PHONE PROJECT CONTACT ( ) - 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: ' t, P DATE 7- 3 O - 47BulPRINT NAME: i • .. ! _4-r-- Bulletin letin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application