02-105608 City of Federal Way
Community Development Services Electrical Permit #:02 - 105608 - 00 - EL
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 192& 193
Project Address: 2101 S 324TH Parcel Number: 162104 9037
Project Description: Replace meter pedestal for mobile homes,SPACES 192& 193
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
ex o t a t , _$ '6 Pz I ..SCji®t10 -..x
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: (7--11 g/ot
Ditch cover inspection:
Date
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: Ref iLD if `7 ) G'� ' ( 2 7/av'z
Dalte
V r S
UT Of Rt�CE1VED CONSTRUC I ION PERMIT ELCATIOI�1
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C-]�fZ�l— APPLICATION NUMBER: V g1 0 �Qv 1 - evi EL,
uv f=1). DEC 1 '1 2002
APPLICATION NUMBER: _ _ _ _ _ _ — _ - _ —I
CITY OF FEDERAL WAY APPLICATION NUMBER: -
DING DEPT.
**The fogaTg is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.=
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SITE ADDRESS: 2 / 0 I ..0 01 h, 3_2 9 1 5J' ASSESSOR'S TAX/PARCEL it: j to. ' j - 0 3- 2
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_ y a. ':-F•= ■ -PROJECT INFORMATION ..r
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
414 ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION(Provide detailed description): -c;1 / e C )7j G/y� �j ') Vj c e> s
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PROJECT NAME: J2 e C tie,.c.... .SY'4 L'/-r-e l I % 4 cl e .S
N •_PEOPLE INFORMATION ., _
PROPERTY OWNER: NAME: DAYTIME PHONE:
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MAILING ADDR-SS(STREET ADDRESS;CITY,STATE,74P):
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CONTRACTOR: NAME: DAYTIME PHONE:
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MAILING A NES (STREET ADDRESS;CIT',STATE,ZIP):, EVENING PHONE:
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COF FEDERAL WAY BUSINESS LICENSE NUMBER / FAX NUMBER:
— — (206") 87g - Ia 0 7
CONTRACTOR'S REGISTRATION NUMBER: 1� y L /� EXPIRATION DATE:
(copy of card required)) 4£ f f J' v ) `•1 .Z 4 Q / /
APPLICANT: NAME: DAYTIME PHONE:
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MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
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RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - f
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER ❑ APPLICANT Z CONTRACTOR I
:DETAILED BUILDING INFORMATION''.::-±s.;:::'', `.. -:.:-.!:;::.'-f.,:--:.:'',---,V
EXISTING USE: ,Ai/ h,1t-e &CM,/ .. 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 Cl HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)