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Electrical
City of Federal Way Permit #:17-105980-00-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: NGUYEN
Project Address: 2238 S 308TH ST Parcel Number:053700 0195
Project Description: Replace 200A panel,rewire 24 circuits,replace outlets and switches.
(NOTE:Work completed prior to permit.)
Owner Applicant Contractor
MICHELLE NGUYEN MICHELLE NGUYEN OWNER IS CONTRACTOR
2238 S 308TH ST 2238 S 308TH ST
FEDERALWAY WA 98003 FEDERALWAY WA 98003
Additional Permit Information
Is this an Online or O.T.C.application's Yes
Alt.Serv./Feeder:0 to 200 am] 1 Circuits-Residential 24
PERMIT EXPIRES Saturday,15 December,2018
Permit Issued on Friday,December 15,2017
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
W- hington and the City of Federal Way.
'411
Owner or agent: I
Date: `ZI I<— 1
f ) l
(y r Ira
t •
THIS CARD IS TO REMAIN ON-SITE ''
Fe ral''Y Construction In ection Record
INSPECTION REQ TS:(253)835-3050
PERMIT#: 17 105980 00 Address: 2238 S 308TH ST
Project: MICHELLE NGUYEN FEDERAL WAY WA 98003-4823
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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El UFER Ground(4295) El Ditch cover(4030) ( Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Appro4ed Approved Approved
By Date By Date By ,` Date .../F
El Feeders/Sub-panels(4045) ® Rough al(4225) El Ceiling Cover(4020)
ApprovedApprov
By Date , -•• Z G
Date j By Date
0 Final-Electrical(4055)
By 1pproved
/eP'Dateefre""/Y°
El Rough Electrical 0 Final Electrical [J Right of Way
Approved - Approved
By Date By Date By Date
....A. RECEIVED ELECTRICAL
cur(OF
Federal Way DEC 15 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT ' 1 - 1 0 5 1 D 0 - f (/
PERMIT NUMBER /
SUITE/UNIT/SPACE M
SITE ADDRESS: 2 2 3 6 5 . SDS� ° 5+. dwail r, y'�i e Q �j
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 1300 053 '? 0 0 195
PROJECT NAME
(Tenant or omeown Last Name) N G1 U y tN
24 c v(c),Alvs vJ\cl V CVIOcc W.3
PROJECT DESCRIPTION 40 butt e-c 30 S c1Cktec
Detailed description of work to 7) ikvnr) p`l r[rat .
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1V1 i C11e\V_. (Ai til (2d, ) 2D+ 55 i 1
MAILING ADDRESS E-MAIL
223( 3. 366k" St. rnnowtn$LIe_hc*ry tl-Ccm
CITY STATE ZIP FAX
FFecicx&wat WA , *OD3 ( ) i..)IP1-
NAME PRIMARY PHONE
Mcal6kz 1'qu,1,(iem (2(i,) vb7ss l
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MAILING 2 E-MAIL
ELECTRICAL Z2. 3j S• 3Q A 1 • 11'nl 119'11.9 9 w I'w 1114 I
CONTRACTOR CITY STATE k06
J AX i
•R.Ci- .' ira -: / I ( N E a
WA STATE % ` RACTOR'S LII ENSE S EXPIRATION DATE FED'•e WAY BUSINESS LICENSE k
/ /
--__- _._
NAME
,, ,/� PRIMARY PHONE
1\-it‘�C1nP.t1e N i1� U n ( ) Di - 551
MAILING ADDRESS J E-MAIL
2235 s. 30e+'' 5t-. mnru{,paq(?hamt /.ct
CITY STATE ZIP
rectcxalwaLl 0,14 q 93 ( ) lvtA
NAME PRIMARY PHONE
PROJECT CONTACT (� J( ;C�,�e.tle I, 1 cyultn ( ) .}j f
...____________
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: ` DATE Ii-11511
PRINT NAME: IA' s 'I ` -e.
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application