03-105057 City Federal Way
Community Development Services Electrical Permit #:03 - 105057 - 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: SHELL
Project Address: 28806 PACIFIC S Parcel Number: 042104 9088
Project Description: Install intrinsicly safe wiring for tank monitor.
Owner Applicant Contractor
EQUILON ENTERPRISES LLC S M E CORPORATION S M E CORPORATION
PO Box 4453 2302 A ST 2302 A ST
TACOMA WA 98402 TACOMA WA 98402
PO Box 4453 !Houston,TX 77210-4453 (253)572-3822
Electrical Fixtures
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Low Voltage Fire Alarm-Commercial 1
PERMIT EXPIRES May 10,2004.
Permit issued on
I hereby certify at the above info „. on is correct and that the construction on the above described property and
the occupancy • d the use will . ordance wi , the laws,rules and regulations of the State of Washington and
the City of Fede
Owner ora agent: Date: /r —_ / Z 0
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` CONSTRUCTION PERMIT APPLICATION
i CITY OF �/ NovPPLICATION NUMBER:
Federal Way (vs zco , Q - 05-C35-7 -00
{ APPLICATION NUMBER: - -
CITY OF FEDERALWAY !APPLICATION NUMBER: -
BUILDING DEPT.
"The following is required information-Please print(in ink)or type"
I Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
I
- - I. 7 - 111 I PROPERTY INFORMATION
SITE ADDRESS: S O . \--).4.-e . atA3‘...fASSESSOR'S TAX/PARCEL #: </ca l0 v 47C:)
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S � .a.4/1 %ALS
- .- -;;- . • PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): /Lk.e.S' 2_�/t /�—r ,' . J.:4r-c
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PROJECT NAME: 0 ed zr ?arST U p 5 Tr, -s
_ ; .`_• PEOPLE INFORMATION.
PROPERTY OWNER: NAME: ; DAYTIME PHONE; S L. At2- tA 0 t._ (. C.a) . __,
MAILING ADDRESS(STREET ADD •CITY,STATE,ZIP):
a �C_ c..-1Wy
CONTRACTOR: NAME: �� els) ( DAYTIME PHONE:
MAILING ADDRESS(STREET DRE ,STATE,ZIP): i (� L O t
EVENING PHONE'
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CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( ) -
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy o(card required) bt y % /
APPLICANT: NAME: i __ [ DAYTIME PHONE:
b--Oile..r k �4 .-C 'C.-- (PS 3) ,Y72- - /gZ"L
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
C 'Jo •.- ',A ' S-- 1 As _ (,mow . TrqOz_ ( )
RELATIONSHIP TO PROJECT: i FAX NUMBER:
0 ARCHITECT ❑ TENANT o OTHER(DESCRIBE): Ft c C • ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
'• - • ■ DETAILED BUILDING INFORMATION -
EXISTING USE: 1/(I'S S L 4 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
r PROPOSED USE: S(,n Co& S PROPOSED VALUATION FOR IMPROVEMENTS: $ //�(@-O •-c.-/
SPRINKLERED BUILDING? a YES /' NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 134.11.02
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)