11-100021 Y .
• Electrical
City of Federal Way
Community Development Services Permit #: 11-100021-00-EL
PO.Box 9718 �
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: HAAS
Project Address: 1906 SW 318TH PL Unit 17A Parcel Number: 856110 0720
Project Description: Replace(3)thermostats
Owner Applicant Contractor
KAREN HAAS KAREN HAAS KAREN HAAS
1906 SW 318TH PL UNIT A 1906 SW 318TH PL UNIT A 1906 SW 318TH PL UNIT A
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
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Thermostat 3
PERMIT EXPIRES Thursday, January 5, 2012
Permit Issued on Wednesday, January 5, 2011
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
J and the City of Federal Way.
Owner or agent: 4/42) Date: //5/ 0.)/
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THIS CARD IS TO REMAIN ON-SITE
CITY Construction Ii ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-100021-00-EL Address: 1906 SW 318TH PL Unit 17A
Project: KAREN HAAS FEDERAL WAY, WA 98023-5157
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.
O UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) .0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
*E1 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By i4.,..,,_.1 Date ‘1 ri_ 0
O Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY •
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Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION
JAN 0 5 2 L'.1
**Most electrical .ermits m, be obtained on-line at www.ci . . 'r: *
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SITE ADDRESS: 19 D(.0 s w 3(/ ,g-Ln4 pi
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PROJECT NAME
(Tenant or Homeowner Last Name) A aas fl
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER )aaren 1-4a as pot,' )2540- 2157
MAILING MAIL
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CITY STATE ZIP FAX
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NAME U PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE is
NAME / /
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APPLICANT a rein t-Ya CSS (D(- 6, ) 2_10- -2!57
MAILING ADDRESS E-MAIL
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CITY BTATE ZIP FAX
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PROJECT CONTACT N .ren Pacts (n-y 0)240 2/57
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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.
t3IGNATURE: DATE �1 .'3�2 1/
PRINT NAME: eor'er) 4iat s
33325 8r'Avenue South•PO Box 9718•Federal Way•WA•98063-9718•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application