02-105617 City of Federal Way Electrical Permit #:02 - 105617 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: BELMOR MOBILE HOME PARK SPACES 256&257
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: Replace meter pedestal for mobile homes,SPACES 256&257
Owner Applicant Contractor 1`
BELMOR HOLDINGS LTD SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC
1571 BELLEVUE AVE W SUITE 210 PO BOX 3630 PO BOX 3630
VANCOUVER CN KENT WA 98032-0210 KENT WA 98032-0210
(206)878-7333
Electrical Fixtures
Service or Feeder-Manu./M.H.Park 2
PERMIT EXPIRES June 15,2003,IF NO WORK IS STARTED.
Permit issued on December 17,2002
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 Federal Way.
Owner or agent: See Application Date: (Z-I Ili-
Ditch
aLDitch cover inspection:
Date
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: AP f 1/-24 2 ` �✓d3
Date
,
R
RECEIVED
u^), CONSTRUC I ION PERMIT APPLIC TION
ncrzrL
uv VEY DEC 1 7 2002 APPLICATION NUMBER: O - 10 J f COI EL
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT.
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.=
:-.;:f.:''.4.....: _ 3 •`:.. 1 -PROPERTY INFORMATION ...- .. - z.
SITE ADDRESS: 2 / O I .. 0 01 )1. 3...2.`i Th 5T ASSESSOR'S TAX/PARCEL #: -F- .6,7 2, -,F- k q. - ? 0 i 2
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.y. a °' j .■ PROJECT INFORMATION . . :..r�•. . - .. .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTIONSSYSTEM
PROJECT DESCRIPTION(Provide detailed description): (J(? .44-cl ' 4-'1 e c lie l4 I, ,j(A. jf/G e> s
A 2 -d eh Ay. J7 /\4 (' 5 , 4 ces ,
2 O5h - 2o 5".(3 J 2a/S - 2119,i 2-5-6- 2-(3 1 j _2-6-4- 5-.2' 2_'7'1- Z 7-5'.s
PROJECT NAME: '(44 Y S
II
■ PEOPLE INFORMATION ._ ,. - - -
PROPERTY OWNER: NAME: �,�, 1 DAYTIME PHONE:
MAILING ADDRESS(STREETnADDRESS, TY,/joie
ATE,z y-)s I TO ( ) .
1.571 Q,Piil we 4 U e , Lia ;G' /r a 1O, (Ave oL,✓ex I Clv
CONTRACTOR: NAME: DAYTIME PHONE:
X17 * mrd 1 Vel ,i /Jv tie/'c (� ) 879 - 3.3_3
MAILING A (STREET ADDRESS;CITY,STATE,ZIP):, EVENING PHONE:
e 0. �v2 .3_ 3 Q ` J1 QA,l eV , 9 3z ('/5)43-Z - 14-2
C OF FEDERAL WAY BUSINESS LICENSE NUMBER! / FAX NUMBER:
— — ( 2.06') 878 - 0 7
CONTRACTOR'S REGISTRATION NUMBER: L /'� EXPIRATION DATE:
(copy of card required) tf e e E Ai e_ `J 4 Q / /
APPLICANT: NAME: DAYTIME PHONE: ! .
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - , 1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT cicCONTRACTOR I
.. ''' '.. ..DETAILED BUILDING INFORMATION ...•1-:;';-,?::::;,''..:-.....,-,';
EXISTING USE: NOhiA� ))10,A1 se S EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)