02-105607 IL
City of Federal Way
Community Development Services Electrical Permit #:02 - 105607 - 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 188& 189
Project Address: 2101 S 324TH Parcel N • 162104 90
Project Description: Replace meter pedestal for mobile homes,SPACES 188& 189
Owner Applicant C. tor
BELMOR HOLDINGS LTD SHEPPARD&NELSON ELECTRIC HEPP• • • ELS• EL 61
1571 BELLEVUE AVE W SUITE 210 PO BOX 3630 ' e• .30
VANCOUVER CN KENT WA 98032-0210 A 9:' 1210
(206)
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1
• trical Fixt
Service or Feeder-Manu./M.H.Park 2
EXP6k \
iviii ' S June 15,2003,IF NO WORK IS STARTED.
t issued on December 17,2002
•
I hereby certify that the abo • formation orrect and that the construction on the above described property and
the occupant the use wil in accord ce with the laws,rules and regulations of the State of Washington and
•
the City of ral Way.
Own agent. See Date: r? /nit x7--
Ditch cover inspection:
Date
Rough-in inspection:
Date
Service inspection: •
Date
FINAL inspection:' t/ — (Sp-70 2
Date
UTel'o, , CONSTRUC I ION PERMIT_ APPLICATION
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APPLICATION NUMBER: ,02\- v % 6 o-7— a) I a,
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RECEIVED APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
DEC 1 7 2002
**The following is required information-Please print(in ink)or type**
Please note: ElectPYF FFDEditecliiWykirms and Engineering permits may require a separate application.=
BUILDING a -
... _ 5:. .. _;:1:'PROPERTYINFORMATION .:.- •-..- -ii.,..--:; .
SITE ADDRESS: 2 I 0 I SCI 0"--) jL 2Lill) 57:- ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1 `• - d; :1-PROJECT INFORMATION ~i _
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
g ELECTRICAL ❑ ENGINEJERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Of i4/4-c%( y' I-1 r'c .2-11/e4 h 5'l Av j G fa
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PROJECT NAME: /-)L.' G 1-X/'C— S'(4 vt, I) I 4.-/'f 0 e .S
-. __. ' -:'-',J•:1-:;;:41 '.PEOPLE INFORMATION --
PROPERTY OWNER: NAME.. DAYTIME PHONE:
se/j 01e JJoIdixt s I-.I-a3 ( )
MAILING ADDR SS(STREET ADDRESS;CITY,STATE, P):
71 /34,%lewt, 4 v i 12,i,l Si'iTt' 2-10 (ij1���Ur✓✓r��� 6.:_n/
CONTRACTOR: NAME: DAYTIME PHONE:
1-7 * cn,/'�d '( 4 I � l' G Ii /C (� ) Y?b) - �3 is
MAILING A S (STREET ADDRESS;CITY,STATE,ZIP):, EVENING PHONE:
e 0, CIx _ �, 3 0j 11 .9>v>) WA, 9 8o z c9/s)4 14-24
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER / FAX NUMBER:
- - (206') 87C' - 8o7i
CONTRACTORS REGISTRATION NUMBER: LL /� EXPIRATION DATE:
(copy of card required) £ 1 L L' e .L/ � ^J . 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 IX CONTRACTOR i
:` ; f :DETAILED BUILDING INFORMATION .
EXISTING USE: /'ijo/)i4-e tipAq'r 5 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? El 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)