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18-102789 4 Electrical City of'Federal Way '• Permit #:18-102789-00-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: NIELSEN Project Address: 141 SW 374TH ST Parcel Number:218820 4045 Project Description: Mast Replacement Owner Applicant Contractor WILLIAM LYNCH HUGH NIELSEN OWNER IS CONTRACTOR 2614 W NEWTON ST 141 SW 374TH ST SEATTLE,WA 98199 FEDERAL WAY WA 98023 r Additional Permit Information lk Is this an Online or O.T.C.application Yes I { Mast or Meter Repair(Resider. 1 r PERMIT EXPIRES` R, t ay,2, ,une,2019 Permit Issd1pla• .I ay, . I • 6,2018 I hereby certify that the above informa and that 4, construction on the above described property and the occupancy and the use wil •rdance with the laws, rules and regulations of the State of \b Washingtajf d the ity of Federal Way. /� Owner or agent: � Date: 6 26 VI /g \dg7 • -, ca • THIS CARD IS TO REMAIN ON-SITE an os�/�N Federal Way Construction TI 'REQUESTS:(2 3) Record rd PERMIT#: 18 102789 00 Address: 141 SW 374TH ST Project: CYNTHIA OSBOR LYNCH FEDERAL WAY WA 98023-7317 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. UFER Ground(4295) © (4030) Q Slab/Concrete Floor(4255) Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) 0 Temporary Power(4275) © Service(4235) Approved Approved Approved By Date By Date By Date 7❑ Feeders/Sub-panels(4045) ® Rough Electrical(4225) 9❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date a Final-Electrical(4055) Approved By Date . • 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date Ahh, CITY OF Building Division 3332Ped e s I JIJa4r deral Eiay, Av 980e0 Sou-63t5 Federal Way,WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: t PERMIT#: L �-- 1 � vim ' e ot (.0 - 1,02 u �` 4> .rte S>---ca C `S Gt rO-N, IF YOU HAVE QUESTIONS CALL (253) 835- `), WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of ....__ RECEIVED ELECTRICAL CITY OF Federal Way PERMIT APPLICATION JUN 26 2018 CITY OF COM UNITY DEEV RAL OPMENT PERMIT NUMBER I _ 1 07 � Cr) - / SUITE/UNIT/SPACE# SITE ADDRESS: /L/f 5/14 �j 71/ 57R ET PROJECTOVV�U©IQN ASSESSOR'S TAARC �o - 4L CURRENT/PROPOSED USE (J 1 045- $ PROJECT NAME /Y,�// (Tenant or Homeowner Last Name) WA:n-TBc,f hi EAD y nig-5'T ft EI i 0 itb/P PROJECT DESCRIPTION / / ' ®LAC F Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER /i U G/j fl N//5-L.5 1 (WC) Fgi� 07 0 MAILING ADDRESS / 7 E-MAIL '// 5i4✓ j 7y T�- CITY STATE ZIP FAX Ea,eR,9L VA/ (A74- 91c 2, ( ) - NAME PRIMARY PHONE ( ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME , PRIMARY PHONE APPLICANT #0411- /V /1//f L- 5LAl ( ) - MAILING ADDRESS /..� E-MAIL 1y/ 514/ 126, CITY STATE ZIP FAX FEbER9t VA; (✓n tSot3 ( ) - NAME PRIMARY PHONE PROJECT CONTACT ( ) 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 oft is application. SIGNATURE: A ig., Of DATE g/244/7, PRINT NAME: / — i A 1 &L- Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application