12-100571 Electrical
City of Federal Way Ilk
Community&Econ.Dev.Services Permit #: 12-100571-00-EL
33325 8th Ave S •
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 P q
Project Name: BATSON
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Project Address: 35806 1ST AVE S Parcel Number: 292104 9042
Project Description: Hooking up the electrical for a replacement septic system.
Owner Applicant Contractor
D L BATSON ALL STAR ELECTRIC ALL STAR ELECTRIC
35806 1ST AVE S 11103 50TH AVE E ALLSTE*243B2(1/31/12)
FEDERAL WAY WA 98003-8604 TACOMA WA 98446 11103 50TH AVE E
TACOMA WA 98446
14� .'�' . o_: � rr •, off- -ra_ ^z, s
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Is Use Educational or Institutional? No
•
Circuits-Residential 2
CONDITIONS:
1.Inspection approval is required prior to covering or concealing any portion of the septic electrical system,
including the pump. New septic& effluent tanks containing electrical wires and equipment MUST be
inspection and approved PRIOR to being loaded with sewage. (Per 296-46B-501-001(b)(7)WAC)
PERMIT EXPIRES Sunday, August 5, 2012
Permit Issued on Tuesday, February 7, 2012
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
t City of Federal Way.
Owner or agent: /���..,„ %/� Date: 2 7 ` /Z--
4//7
K'b fi4 IZ
r THIS CARD IS TO REMAIN ON-SITE
•
CITY OF • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-100571-00-EL Address: 35806 1ST AVE S
Project: D L BATSON FEDERAL WAY, WA 98003-8604
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 Pool Bonding (4195) 0 Rough Electrical(4225) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By ` Date Z 4-17----
.
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
' .. ill `�- i 0o5T (
PeY;F:la@litibilVED ELECTRICAL
FEB 0 7 7,PERMIT APPLICATION
CITY OF ,r N -Fei 7"riW l pvermits may be obtained on-line at www.citvoffederalway.com**
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SITE ADDRESS: 3 5 o / /d
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SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT)PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name) 1.-- 4--VS C) ,
PROJECT DESCRIPTION /,.[0 0 u jj{�,.,1 5'i,'i",c C <
Detailed description of work to 6 1 /� /
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER D04_ 1_44 11 4 'r.14,_ (z s3 ) (3/— 3-S'S y
MAILING ADDRESS E-MAIL
S-SS D 6 [ vi 40 , a
CITY STATE ZIP FAX
F LI t,A. ( )
NAME PRIMARY PHONE
LC
S'l` y Ih,c (1s3) 53�._s°�c
MAILING ADDRESS E-MAIL
ELECTRICAL 1/1 Cl 3 Sw _ A-11 J--
CONTRACTOR CITY STATE ZIP FAX
T/4 c.v'-'1 1 1.4./f3-- Cl r%i/4 (2 5 3) 5 3 2- 1 0>l
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
74- LC 5 r 2y 3 /J 2- t , ;/ , l`/
NAME PRIMARY PHONE
APPLICANT ;-A <-3-r 1 ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ,'
0 /� /16r'/1� to U .1 Ar fel ( ZSj) 2-09- �1�7
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.
0 ,000 .� ,SIGNATURE: � � '� p/,, , ,
DATE G2 / / Z
PRINT NAME: /1/c, CK /in C-- 19P,1.4 4(
33325 8th Avenue South♦Federal Way•WA•98003-6325 1 253-835-2607♦fax 253-835-2609♦www.c1tyoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application