03-105484 ► •
City of Federal Way
Community Development Services Electrical Permit #:03 - 105484 - 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: CHURCH OF BLESSING
Project Address: 1430 S 330TH 51' Parcel Number: 172104 9045
Project Description: T-STAT WIRING
Owner Applicant Contractor
CHURCH OF BLESSING GATEWAY HEATING&AIR CONDITIO GATEWAY HEATING&AIR CONDITIO
31037 44TH AVE S 3802 AUBURN WAY N 3802 AUBURN WAY N
AUBURN WA AUBURN WA 98002 AUBURN WA 98002
98001-2610 (253)931-0610
Electrical Fixtures
Description Quantity L Description iQuantity Description iQuantityi
Thermostat 9
PERMIT EXPIRES June 15,2004.
Permit issued on December 18,2003
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 agent: d/ 1 e Date: ( Z -/ —kx) J
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CONSTRUCTION PERMIT APPLICATION
VV 1=1"Y DEC , 2003 APPLICATION NUMBER: Q 3- JDs--q _(,(- ec
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: -
BUILDING DEPT. - — —
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
:. ■ PROPERTY INFORMATION
SITE ADDRESS: /4 3 0 S 3 3 o r' S r" ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.. - .■ PROJECT INFORMATION - - .
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
ET ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION(Provide detailed description):
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PROJECT NAME: ( /4 v 4 L l•-•/ Q,r f3 1 6 6 14-7 C�
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
C, rE,k 144-7-) G -lc- (c5_.5) 93( - 010 IV
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): �, , t,uzek) EVENING PHONE:
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CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
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CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION A
(copy of card required) ^ fTu) E4O � ' a 03
APPLICANT: NAME:
DAYTIME PHONE:
/(1O C ' J -f c u53)9 _ - DSO �D
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( I
RELATIONSHIP TO PROJECT: n FAX NUMBER: I
0 ARCHITECT 0 TENANT OTHER(DESCRIBE): l (DSV (,15 ) Cal/ 1- /�[J{ J0!
EMAIL ADDRESS: "� C1
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ,6PPLICANT )ONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)