01-102201 I
City unity Development Services Federal WaCommunityCo 'Electrical Permit #:01 - 102201 - 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: SODERGREN
Project Address: 143 S 295TH Pi Parcel Number: 543721 0060
Project Description: ELE-Adding 15 amp,120 volt circuit for new furnace
Owner Applicant Contractor
Robert C&Louise C Sodergren NONE WASHINGTON ENERGY SERVICES CO
143 S 295TH PL 2800 THORNDYKE AVE W
FEDERAL WAY WA SEATTLE,WA
98003-3659 NONE (206)282-4700
Electrical Fixtures
,AfFt VeVaiiitick 4Q1i?ntity , i;: Description " " ` jQuaritity ,Description , IQuaritity
Circuits-Residential 1
PERMIT EXPIRES December 3,2001,IF NO WORK IS STARTED.
Permit issued on June 6,2001
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: a- v — Date: _...1:7((s2110 1
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JI;N- -C'., 09:59 FROM-NORTHWEST-CASS I MAR 206-3T4-0834 T-508 P.01/05 F185
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**The following is required Information—Please print(in ink)or type*l
Please note: Metrical,Fire Prevention Systems and Engineering permits may require a separate application.
N PROPERTY INFORMATION
SITE ADDRESS: I 1) . 1 ',J ' ASSESSOR'S TAX/PARCEL 46 q 3i a - Q
LEGAL DESCRIPTION OF SUB]ECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): •
• . . • • . • - , . ... . ■: PROJECT INFORMATION .
TYPE OF PROJECT(This apptication): ❑ BtECHANI 0 DEMOLITION
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ENGINEERING❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION(Provide detailed description): 1�.�Q�¶? 41411 :raj .-- - 405/
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NAI . ADDRESS(SOW ADDRESS;(Ill.STA a EVENING PHONE:
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CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT ) ONTRACrOR -
III DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDINNS? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:U YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN •❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)