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01-104704 City of Federal Way Community Development Services Electrical Permit #:01 - 104704 - 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: DIGESTIVE HEALTH SPECIALIST Project Address: 34503 9TH*Ave .5 Parcel Number: 750451 0050 Project Description: ELE-Adding up to 18 branch circuits for new tenant. All circuits added to existing 200 amp panel. Owner Applicant Contractor ST FRANCIS MEDICAL CTR ASSOC.*ST FR SINDER ELECTRIC INC SINDER ELECTRIC INC 1717 S J ST 15022-35TH AVE W 15022-35TH AVE W TACOMA WA 98405-4933 LYNNWOOD WA 98037 LYNNWOOD WA 98037 (425)743-9704 Electrical Fixtures ,Quantity] c° iyi Descri tion 'Quantity' Description Taii6Oty Alt.Serv./Feeder up to 200 amps-Co, 1 PERMIT EXPIRES June 9,2002,IF NO WORK IS STARTED. Permit issued on December 11,2001 .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: /e/V �.��' Date: I 2\71 f—O wa US O R Cepv ✓� 1-.77.11141 ) ,✓y (i). p, ag -For v'e2 - G�Pi Z- °4- O?. Fe le. ( r • 65,d ,A— 0 «nom • CONSTRUCTION PERMIT APPLICATION uv ' 'j APPLICATION NUMBER: - J o V-v LL oQ APPLICATION NUMBER: - _ _ DEC APPLICATION NUMBER: _ _; • _ G1�Y O�pOF,,EDEO �ollowing is required information-Please print(in ink)or type** Please rig.'Eiectrical,Fire Prevention Systems and Engineering permits may require a separate application. ■ 'PROPERTY INFORMATION SITE ADDRESS: 314.2)3 s, ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION ELECTRICAL ,❑}ENGINEERING CI FIRE KFC, SYSTEM , PROJECT DESCRIPTION(Provide detailed description): j/V �4-�-� < Amt. L(G-/T`'F 1N [NA r-6)lA)& TE/tJ trnPKO etr►SWT PROJECT NAME: 2St)Ve Pei-WM c .C4 t(S� I ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: 5T. PR*AXJS El k M G 4 DG. ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): nil S J ST ¶ %C©rr?/f )I$ i/23 - 1 33 CONTRACTOR: NAME: DAYTIME PHONE: /A) ER ELIC- ( /2 743110`( MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): L.y,!N 00v EVENING PHONE: /SOS AVE, LJ , STE- A w& 'San ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: l q — (�' 1 a 6Z 3 1 r O D (las) g 82 CONTRACTOR'S REGISTRATION NUMBER: / ,n + EXPIRATION DATE (copy or card required) S w W E Z 1 rL ' 2! **NEW RESIDENTIAL CONSTRUCTION ONLY** 1111., NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING S•.FT. PROPOSED SQ.FT. 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 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 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 daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),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 a part of this application. M ) J`� NAME/TITLE: ) er4-6 ELE2 R /T/V DATE: L4 1l-© El PROPERTY 01AfNER ❑ APPLICANT ❑ CONTRACTOR ;FOR OFFICE USE-ONLY:,:, ❑'NEW ❑ADDITION ❑'ALTERATION ❑;REPAIR ❑ TENANT IMPROVEMENT- CENSUS.CODE: ":LOT SIZE ZONING,DESIGNATION, BUILDING SHELL ONLY?.:.❑YES ❑ NO COMP*P.LAN DESIGNATION . BASIC PLAN? .. ❑YES ❑ NO' SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑=NO .PLATTED-LOT? ❑YES [] NO CHANGE.OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129