01-102885 City of unFederal Way
Community Development Services Electrical Permit #:01 - 102885 - 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: HARGROVE
Project Address: 33258 22ND SW Parcel Number: 932090 0630
Project Description: ELE-Electrical repair work(re-wire throughout)to fire damaged unit.
Owner Applicant Contractor
Rodney Hargrove EASY DOES IT ELECTRIC INC EASY DOES IT ELECTRIC INC
33258 22ND CT SW 17712 2ND ST E 17712 2ND ST E
FEDERAL WAY WA SUMNER WA 98390 SUMNER WA 98390
98023-2879 (253)939-5065
Electrical Fixtures
Description )Quantity Description Quantity Description 'Quantity
Alt.Serv./Feeder:0 to 200 amps-Mul° 1
PERMIT EXPIRES January 20,2002,IF NO WORK IS STARTED.
Permit issued on July 24,2001
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: �I�l c✓�C �.`��. G c t Z Date: s,--)-ct,.: -00 l
•
r
CITY Of
( CONSTRUCTION PERMIT APPLICATION
--- *ii-IEfZFiI— �3+r-f''' . .
\)\> F� APPLICATION NUMBER: 42%
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET I
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) - SUMP(S)
- - , , -) ■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of
Federal Way,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 pa of this application.
NAME/TITLE: e--✓'' µ DATE: cc)fAlkonlyiecri
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? El YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? Cl YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? El YES ❑ NO
mMMi INrrY nFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129