19-103552 a 8'
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Electrical
City of Federal way Permit #:19-103552-00-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: MENEESE
Project Address: 28218 27TH AVE S Parcel Number: 111700 0030
Project Description: Electrical work for 278 square foot addition with min-split system and new garage feeder.
Owner Applicant Contractor
BONNIE MENEESE FENTON ELECTRIC LLC FENTON ELECTRIC LLC
28218 27TH AVE S 414 ELDREDGE AVE NW FENTOEL882DR(3/19/20)
FEDERAL WAY WA 98003 ORTING WA 98360
414 ELDREDGE AVE NW
ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Alt.ServJFeeder:0 to 200 ami I
PERMIT EXPIRES Wednesday,22 July,2020
Permit Issued on Tuesday,July 23,2019
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 int accordance with the laws, rules and regulations of the State of
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Wash' ton and the City of Federal Way.
Owner or agent: Date: 1 --Z: J I 611
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THIS CARD IS TO REMAIN ON-SITE
CITY°� '064 Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103552 00 Address: 28218 27TH AVE S
Project: BONNIE MENEESE FEDERAL WAY WA 98003-3306
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) 0 .a Ditch cover(4030) ' Slab/Concrete Floor(4255)
Approved Approved �j ) �j Approved to place concrete
By Date By Date 4" (J `/ / By Date
•
0 Pool Bonding(4195) ' El Temporary Power(4275) ® Service(4235)
Approved ! Approved Approved
By Date By Date By Date
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® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved ! Approved
.By je, Date f Ir./ JBy eie Date er, f 1 9ByDate .
0 Final-Electrical(4055)
Approved
By ' l./l "ate /t ',2 /9
0 Rough Electrical 0Final Electrical
0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
O
oF , ELECTRICAL
Federal Way J 2 3 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT ...rrr���
PERMIT NUMBER / _ /� o3 5:51:501...„
SUITE/UNIT/SPACE#
SITE ADDRESS: Z...531 ` -11 1-t A-j j S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 000, 1 1 1 D L - 0_0 30
PROJECT NAME
(Tenant or Homeowner Last Name) M
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PROJECT DESCRIPTION 5 xS-102.,A L.of "1 cs4 3& `° R`.-
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER "Ni _ (425)1-r -l 1-I
MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX
NAME{ PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL Lt(�l �lc�� c� � ' ( 9‘&_) Fra ►���-,��1���,.-�;',�,�o,
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BU NESS LIC NSE#
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NAME PRI Y PHO
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APPLICANT � � ✓i C (z- ).-/z40 -
MAILING ADDRESS p / E-MAIL
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CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT 'ECv•-4-6
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: nV DATE "1'
PRINT NAME: -1 UV. Q V l O
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application