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01-101267 City of Federal Way Community Development Services Electrical Permit #:01 - 101267 - 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: BRIGADOON ELEMENTARY SCHOOL Project Address: 3601 SW 336TH SS1 Parcel Number: 232103 9003 Project Description: EL-Electrcial for illuminated readerboard sign. Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOL BRIGADOON ELEMENTARY SCHOOL SHEPPARD&NELSON ELECTRIC 31405 18TH AVE S 3601 SW 336TH ST SHEPPARD&NELSON ELECTRIC FEDERAL WAY WA FEDERAL WAY WA 98023 PO BOX 3630 98003-5433 (206)878-7333 Electrical Fixtures Description' Quantity Description "Quantity -Description Quantity Sign 1 L PERMIT EXPIRES September 29,2001,IF NO WORK IS STARTED. Permit issued on April 2,2001 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 arid the City of Federal Way. ( Owner or agent:_ • G Date: / it f ECEIVE� CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: Q L - 0/ - — _ vv Frz � AIR ® 2 200 APPLICATION NUMBER: _ _ - _ _ _ - _ _ CA CY 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: 3 (S/D 5 IN ,r3_(;) ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT"trr`icMAT1 h . TYPE OF PROJECT(This application : 0 ILDING 0 PLU ING ECHA •L DEMOLITION • ! • RICAL 0 ENG ERING R- • NT SYSTEM PROJECT DES ' ON(Provide de ed descrip ' p rd t) • _e P • • I/-Pc,.) S/y/v, 1 PROJECT NAM • 1 OPLE INFORMATION PROPERTY OWNER • E: DAYTIM• F.�J-?I C_ Se,Cr L l . c y OC--- -5. O UNG ADDRESS(STREET ADDRESS; ,STA_-_ ZIP): 1 066 S , 30 F e ° `1. - CONTRACTOR: N • YTIM • v ii u IfatC . 1' • 6 )8?9 -2333 iiii •DRESS(STREET • ,STATE,ZI•. RING PHONE: ' 0 , I u. ;030 0" 980Wfir3 ) _ i,‘ CITY OF RAI.WAY: ESS LICE UMBER: NUMBER: 1 • I d:1 F3 9 5 - ® o . 6)87$ -7&07 CONTRACTORS REGISTRA NUM: . EXPIRATION DATE: 54 PPN E S-5- Lio I / APPLICANT: NAME: DAYTIME PHONE: ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE, • EVENING PHONE: ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT tg.CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ • SPRINKLERED BUILDING? 0 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) **NEW RESIDENTIAL CONSTRUCTION ONLY** 3i ` 0 . • NUMBER OF BEDROOMS: ESTIMATE 5ELLING PRICE: $ ■ PROSECT FLOOR AREAS EXISTING SQ.FT. PROPOSEDSQ�FTS FLOOR TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES Indicate number of each type of fixture MECHANICAL ' AIR HANDLING UNITS) EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. STEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) RANGE(S) MISC.( ) COMPRESSORS) IIP FURNACES) DUCTS) GAS PIPE OUTLETS) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUBS) LAVATORY(S) URINAL(S) WATER HEATERS) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) 1:a ELECTRIC ❑ GAS DRINKING FOUNTAINS) SHOWERS) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSETS) MISC.( ) INTERCEPTORS) SUMPS) ■ DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the bes:IC 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 daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as part of this application. AM LE• •�l /' iDATE: ! ? ^©! N E/TIT n❑ PROPERTY OWNER ❑�LI CANT CONTRACTOR FOR OFFICE USE •.,:-- :::: NLY: ❑'NEW"a .i.f ADDt7ION, . ❑.ALTER] * PAIR " C TErIANT MPROVEMENT t'2 a .. ,,:.,'....:.......:.::.,',,.,..,'..:.'",.' CENSUS CODE ' e i .OT IZE ZONI,IG DESIGNA'f1t N':. . " BUILDING SHELL ONLY? 1'YES '❑ NO COMP PLAN DESIGNATION ;"+; BASIC PLAN? 0 YES "❑'NO dSECTIO,N TOWNSHIP RANGE % NEW ADDRESS SQUIRED? M ❑ YE,S ❑ NO r PLATTED LOT? © YES ❑NO r CHANGE O USE? D'YES'. "_ SHO OOMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 980639718•253614000•FAX:253461-4129