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CD0193(Rev 4/97)
01/20/99 WED 16:02 FAX 2536614129 CITY OF FEDERAL WAY 01001
�f R EC E I`/E D $pQ,DING DrvrslON ,
CRY Or
. r33530 First Way South
Ni/N) FEY JAN 2 2 i9,q Federal Way WA 98003
(253)661-4000 1
Fax(253)6614129
ELECTRICAL OtmorrAPPLICATION .
`""Federal WaBusiness License number: Ell
Job Adclr�. / �' � �'f-1e.."(7-----Lt-,—T—
/(C�{ rob site Plate
Pars:No Lot Nv Subdivi3.Oe Nemo
/tenant d S r u., Mail Address �J(j
0 ��"2- Phone /
OR c t..)�t�Cif- /}ss p G (3c,x, t 2YG,,,'00 ;t„/e. .6C - 6�r
Addtesdpboec Eteserial oegrootor limey number(copy Fog'11): r
Elearioal Ccolraatar Z/..,,, r✓L' S(7 /=W i e e i o.2/6 .
3 e_ / 14} %YD 03 ExPiratioe Date: / / 1 1 /.Zuc:c.
I=itllr, C/eJ' cf„c. _ Czcle''ate LC(
U.er was: 0 SF Rw)(.cava 0 Other o Molt; o Chur h/Sohoel Claw of Wart 0 New 'Alteration o Addition o Repair
Describe Work:
F IE--fie:e w1-F�r f x:S+",^-y A/0,9
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only........ $41
(First 1300 re-562;Each add'n 500 R'-520) Service and feeder 67
plan review is req d. Fee is 35% of _
Square Feet:
permit fee+$52. Add'l plan review _Each outbuilding or garage $26 MOBILE HOME/RV PARK
for other submissions is $62/hr. (inspected with service) #of service or feeders
_Each outbuilding or garage $41 (Fig r rviaclfeeder-S41:Add'n rervioel
(Inspected separately) Feeder-S26 each)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(laci»des tierce units or mere) ,=
'#of Thermostats(Finttotst-s31:add'n-SIO a) mice Feeder Amps ServiFce Add'n , -
#of Low voltage fire or burglar alarms
(Residene at:fuer 25001F-536;Ella%add'a 500 R'-S lo) Up to 200 amp . ... $67 $20. _0 to 100 $67 .. .. $41
(Commercial:1-4 cone-S36,Each add'n zonoslo) 201 -40)amp . . . . 83 41 101 -200 83 52
401 -60)arnp .... 114 57 2 201 -400 156 62
_#of Signs (First sign-531;Each add'n sign 515) —601 -803 amp . ... 146 78 401 -600 . . . . ... . 182 73
_Progress inspection per Ya hr 531 801 and over ...... 208 156 601 -800 . 235 . . . . 99
—
—Swimming pool,hot tub,spa 60 801 1000 287 .... 120
_Temporary Pole 36 over 1000 . . . .... 313 .... 167
Yard Pole meter loops 41 _Over 600 volts surcharge 52
Mast or meter repair 57
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be (whet inspectai separately from the services.)
made the following work day,253.661.4140. Altered Service or Feeders
Service or Feeder _0 to 200 5 67
I hereby certify that I am the owner(or _U to 200 amp $57 _201 -600 156
authorized agent)of the above named property, _201 -6(10 amp 83 601 - 1000 235
ora licensed contractor(or firm's authorized _over 600 125 _over 1000 261
agent)and am making the installation or _Mast or meter repair 31 —#of circuits
alteration in compliance with all applicable _#of circuits 40 (First 5 circuits-552;Add'n vucvit.55 csoh)
city,county,and/or state laws. (1-4 circa,iu.-541.Add'u circuits$5 each)
Temporary Service
Applicant's Signature: 0 to 100 . . . $41
�/ �r ! 101 -200 52
� L t y (Ot 201 -400 62
� ca
401 6W 83
Date: /—,?-0 --P / over 600 94
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