02-105610 City of Federal way Electrical Permit #:02 - 105610 - 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 194& 195
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: Replace meter pedestal for mobile homes,SPACES 194& 195
Owner Applicant Contractor
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
A
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: 2/e /02
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Ditch cover inspection:
Date
Rough-in inspection:
Date
Service inspection: isire,4 D /27
Date
FINAL
FINAL inspection:
Date
RECEIVED
'
CIT.a i CONSTRUC I ION PERMIT APPLICATION
•
vv __ DEC 1 7 2002 - ----
APPLICATION NUMBER: (/ _ .-6 (c2_ �J I EL
CITY OF FEDERAL WAY APPLICATION NUMBER: _ I
BUILDING DEPT, APPLICATION NUMBER: - -
**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.=
::;:i".:.:':31:..: - . ;:1 -PROPERTY INFORMATION - . -
SITE ADDRESS: 2 / O 1 ..0 0-1 J . 3_2.9 1 572 ASSESSOR'S TAX/PARCEL -ft: _i ze 2, J k - o . 2
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• .t' . :'t .:,' .■ -PROJECT INFORMATION ..t - .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
VI ELECTRICAL ❑ ENGINEERING❑ FIRE PREEVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1 9 cJ y J-/ e c l/.1'e4 I, 'ti f//G e° i.
,47 20 it4ekJ-k /'J,'iA.4 ,e .5 A GI'S •
2 o:sj} - 2 06E '2 y i Z,5- z 1 2-676.-- ).577,_ 1- 2.,..5-,
PROJECT NAME: 4:::7)
i.?' G )---k/*c-.- .�'t'4 I,/c V I 4 ,i d e. S
. - ■i_PEOPLE INFORMATION. .. :: _ _ _ .
PROPERTY OWNER: NAME: JJ �����,,l,[�� //{ 5 DAYTIME PHONE:
MAILING13 seDORES�(STR ET ADDRESi0 Id TY, A A.,_TE, __s J T JJ ( )
A5-7/ &j!,v,,r' 4(,,e , UJ, ;c';TY a1 ilAwe o.,✓eie, Gil/
CONTRACTOR: NAME: DAYTIME PHONE:
s1ilipire0, I Mel SOS ,�) cecrgI (2 ) 87 - 73.3.
MAILING A RES (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/30, ._ t, 3O f1 ,A,I 2 , 9 o (415-)43_ - 14-2Cco.
OF FEDERAL WAY BUSINESS LICENSE NUMBER! 1 FAX NUMBER:
- - (20,) 878 - 1807
CONTRACTOR'S REGISTRATION NUMBER: /� EXPIRATION DATE:
(copy of card required) £ 1 e_ -5-.67( E e A 6 Q / /
APPLICANT: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) - ,
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Ig CONTRACTOR I
'1.:'. '''':::C:4:77: -::2;-2--'-:-' _. -._ ' . . '.: :11 DETAILED BUILDING INFORMATION'7.::..1-,
EXISTING USE: //oL7tl'' Ido /'$' EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I 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 ❑ HIGHLINE 0 PRIVATE(SEPTIC)