19-104976 Electrical
CuniyDedeopment FILE Permit #:19-104976-00-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: EVERGREEN EYE CENTER
Project Address: 33600 6TH AVE S Swike 2-06 Parcel Number:926480 0205
Project Description: Installing 60 riser,cat 6 cables.All voice& data L/V.Dual drops,use existing patch panel.All
new ceiling supports.Three work stations to be floor fed,Patch cords on both ends. Add
overhead background music system
•
Owner Applicant Contractor
SHARON LACHNERAULUKISTA LLC RICK WALSTONCLEARNET. CLEARNET COMMUNICATIONS
5015 BUSINESS PARK BLVD SUITE 3000 257 SW 41ST ST CLEAR**90IPM(10/14/22)
ANCHORAGE AK 99503 RENTON WA 98055
257 SW 41ST ST
USA USA RENTON WA 98057
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
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Low Voltage-Other(Commei 2
PERMIT EXPIRES Wednesday, 14 October,2020
Permit Issued on Tuesday,October 15,2019
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 in accordance with the laws, rules and regulations of the State of
krz...6, ,t,Washington and the City of Federal Way.
Owner or agent: r Date: (I (S-(
0
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THIS CARD IS TO REMAIN ON-SITE
CITY Fe ''' *4
deral Way Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104976 00 Address: 33600 6TH AVE S Unit 200
Project: SHARON LACHNER FEDERAL WAY WA 98003
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.
,® Service(4235) \,� Feeders/Sub-panels(4045) •• .
Rough Electrical(4225) '
Approved Approved Approved
By Date By Date By Date
® Ceiling Cover(4020) � 0 Final-Electrical(4055)
Approved Approved
By Date By Date -
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
millligi.
RECEIVED ELECTRICAL
SOFA
Federal Way OCT 1 5 2019 PERMIT APPLICATION
CITY COMMUNITY DEVELOPINMENT 42'
PERMrr NUMBER _ / 00 171q.
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SITE ADDRESS: '..,j Ie 0 Dl0 - Ps-Vle/ S. 0
OF
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i C. - - /PROPOSED USE
$ 1( 322 • 41 - _ _ _ _
PROJECT NAME .`� ✓ e
(Tenant or Homeowner Last Name) [!V[LIf f L � b-,( i �`Ci r
tns-t l t¢0 riser C,* to Caere . alt vol c.c... 4 oda /1/4_,
PROJECT DESCRIPTION nLU-D VOW- • buukt atitDps. U44-. tctst-t vA pe(Ach 9„kgDetailed description of work to Rtt Auk) kil`i.N ylbi O yk . 7j world s�A loL�s \ot. -Poor
be included on this permit only f
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PROPERTY OWNER
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!.d din er tuki s k (tet _-( ) PRIMARY PHONE
MAILIN=ADDRESS E-MAIL
itticiityay
FAX
-
NAME Jury/ ( ) PRIMARY PHONE
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MAILING ADDRESS ELECTRICAL a51 vim/ 41 S{- e'f'.tt wrote.ear Ile 'htt
CONTRACTORSTATE ZIP FAX
WA. 61x051 (use )145 - `MS
WA STATE CONTRACTOR'S LICENSE• EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE i
C,Le A174t * Q () ?t4 to /14 /202020-I4-t01e505- Cry-1st---
NAME PRIMARY PHONE
APPLICANT
‘341/0/‘4, 0 Alb o Ve- ( ) -
RAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
PHONE
PROJECT CONTACT N'e,�C. Or t' ( j'j)6eto let 91
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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.
!pother 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 suppliedAAto tip city as(a�part of this application. 1 I
SIONATURE"ilhNLL t\k. F r DATE t�/)L+1 Z0 1 q
PRINT NAME: V 4611/ t�W". e..A1
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenterJacityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application