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19-105901 Electrical City ofFederalPermit #:19-105901-00-EL Community Development Dept. 333258th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: BURGER EXPRESS Project Address: 32805 PACIFIC HWY S Parcel Number: 172104 9065 Project Description: Repair overhead service 300A 3PH;damaged by vehicle Owner Applicant Contractor LENNOX REALTY INC THOMAS D KIMGREEN TECHNOLOGY GREEN TECHNOLOGY INC P O BOX 51077 INC GREENTI883C7(2/27/20) SEATTLE WA PO BOX 112497 98115 TACOMA WA 98411 PO BOX 112497 TACOMA WA 98411 Additional Permit Information Is this an Online or O.T.C.application/ Yes .r P He 3 x , 3 3n fi 4 r _ 1,� ',; �� r, ,, ,; 1;,p;.s.i 3 Ac v..`"•3.�3�n i _ !:041-;.V ;;Av- .Y. Wd S,-;�i Z ..t. PERMIT EXPIRES Friday,18 December,2020 Permit Issued on Thursday,December 19,2019 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 Washington and the City of Federal Way. Owner or age 7/ Dates 1 Y 1 ) . I,/ I nic • THIS CARD IS TO REMAIN ON-SITE v Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 105901 00 Address: 32805 PACIFIC HWY S Project: LENNOX REALTY INC FEDERAL WAY WA 98003-6407 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. 0 UFER Ground(4295) 0 Ditch cover(4030) ® Slab/Concrete Floor(4255) Approved Approved Approved to place concrete �By Date .•By Date #‘By Date ® Pool Bonding(4195) ® Temporary Power(4275) I© Service(4235) Approved Approved Approved By Date •'••By Date 1By /le° Date/a1F� 0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved I Approved Approved By Date By Date %By Date El Final-Electrical(4055) Approved By '1;c4) Date J,e,^/Z '—/ Rough Electrical ❑ Final ElectricalLJ Right of Way Approved Approved Approved By Date , By Date By Date ........._."k RECEIVED ELECTRICAL CITY OF Federal Way DEC19 2019 PERMIT APPLICATION CITY OF FEDERAL WAY COMMUNf1Y DEVELOPMENTO� - 1 0 3 9 0 1 PERMIT NUMBER t v SUITE/UNIT/SPACE# SITE ADDRESS: PROJECT VALUATION ASSESS R'S TAX/PA CEL# CURRENT/PROPOSED USE $ 2_ -v ---- I 'I 2 I n Y - 9 0 (o .5- PROJECT NAME (Tenant or Homeowner Last Name) U p Y—e_s‹ PROJECT DESCRIPTIONg.. ..feL,,v_ ewe,.a '�'+A � - 3st eli4 31 li Detailed description of work to be included on this permit only DA. A a by - e N W1 V NAME PHONE 1 PROPERTY OWNER tz > `ruI1 L3 ) 396pt-s' MAILING ADDRESS E- L ;- 2.50. Ftt c - c -k r so CITY STATE ZIP FAX ttio•-r ) 11? c'o3 ( ) - NAME PRIMARY PHONE r T io91- (- . ) 2_26 ,+-k MAILING ADDRESS E-MAIL ELECTRICAL 'b [3dX 1 1 2-4 9 7 CONTRACTOR CITY STATE ZIP FAX r c.-e>►A.k w., eta' 41 ( ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# ESN 718'e 3 c NAME *"... PRIMARY PHONE APPLICANT �'� 2. ---3) -2..-2.,A ING ADDRESS E-MAIL Pc..2 s.ox 11 2 44.9 CITY STAYEZIP FAX T�L.,Wt.k_ W� °) L-1-I ( ( ) NAME > PRIMARY PHONE PROJECT CONTACT Di-'--IA1 \ l r ' c � ( ) I certify under penalty of perjury that I am the property owner or authorized 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 authorized 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. I further 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 supplied to the city as a part of this application. SIGNATURE: "---/---''---/- % DATE l/^ei: iO2. 2_0(1 PRINT NAME: 7-til,b IAA.Cls Vw... Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application