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CITY OF FETJE:F?Al.. WAY �.. �.. � .� �.... PERMIT� � PERMIT NO:
EE9sxs
33530 First Way South 07/30/99
Federal Way, WA 98003 Electrical Inspection Requests 253-661-4140 BY: KLC
253-661 4000 EXPIRES: 07/23/00
ADDRESS:30620 PACIFIC HWY S Un.i 1:: "11..:1.
NO. : 092104 -9149
PROJECT DESCRIPTION:L/V - LOW VOLTAGE SECURITY SYSTEM (4 zone)
EVERGREEN DENTAL I A D 1 SECURITY SERVICES, INC.
30620 PACIFIC HWY S 1111 I 841 POWELL AVENtI '1
FEDERAL WAY WA 98003 RENTON WA 9805 k ,
253/946-3895 6103
Or
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ttt CONTRACTORS,- .' t;'i 10( L II 4RLP T1 ' S TAX FOR PRO CIS WITHIN TME CITY OF E MAY. X RATE = 8.6% ttt
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I t STRUCTURE INFORMATION t ,,,RESIDENTIAL t Mitt HOMES t t RESIN NTIAL ALTS I0 t MULTI FAMILY NEN t
SEV FEED
CONS!. TYPE.: V-N '.1t1 St FAT;.: k.PVi k LIN NOLO WY: i! 1 00 P" .. +a 0-200 AMPS...: 0 ... 0
OCC. GROUP..: not 8►3' so 0 (..0,i,, ,,ii rt.L'' : -Mb u 201-400 AMPS.: 0 ... 0
OCC. LOAD...: 0t ' :' I '2° ,lUI: , 1;: i R.601 ' . ,.. 4f1-600 AMPS.: 0 ... 0
SQUARE FEET.: 0 T/METE' ; PA;T. 0 681100 AMPS.: 0 ... 0
BER OF CIRCUITS: 0 801 AND OVER.: 0 ... 0
* COMM. ALTERATIONS t s TEMP SERVEE T ' LAN'iOS * t COMM/INA NEW * J * INSPECTION RECORD t
0 100 AMPS • 0 ... 0 SERVICE ____________ DATE _______
1 0-200 AMPS • 0 0-100 AMPS • 0 THE 0 101-200 AMPS...: 0 ... 0
201-600 AMPS....: 0 101-200 AMPS..: 0 l0 OLTAGE....: 4 201-400 AMPS...: 0 ... 0 COVER.. _____________ DATE __________
601-1000 AMPS...: 0 ; 201-400 AMPS..: 0 ' MING POOL..: 0 401-600 AMPS...: 0 ... 0 I
OVER 1000 AMPS..: 0 ( 401 600 AMPS..: 0 SIGNS..........: 0 601-800 AMPS...: 0 ... 0 FINAL.. .________ ___ DATE ____,___
COMMENTS:
OVER 600 AMPS.: 0 TEMP. POLES • 0 801-1000 AMPS..: 0 ... 0
NUMi Of CIRCIUTS...-..D.. ..1 YARD METER LOOP: 0 OVER 1000 AMPS.: 0 ... 0
TOTAL PERMIT FEES..,....: 36.00 ¢ OVER 600 VOLTS.: 0
MAST/METER RPR.: 0
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KNITS EXPIRE 180 DAYS AFTER ISSUANCE IT NO WORK IS STARTED.
I CERTIFY THAT TME INFORMATION FURNISHED BY NE 1S TRUE ANO CORRECT 10 INE WEST OF NY KNOWLEDGE AND THE APPI.ICAO.E CITY Of FEDERAL WAY REQUIRLNENTS MMEE .Of NET.
OWNER OR AtiENT .a ._ .._ 1Z-0. .li 'Y1 DATE t211
FIELD COPY
crry of = R _ E'\S�r.--
D
BUILDING DIVISION
• �D '' 33530 First Way South
.N) Ry Federal Way WA 98003
JUL 2 7Mr-,„J (253)661-4000
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION • f�
***Federal Way Business License number: 1Z� ELEgq o&jv
Job Addres430620 Pacific Highway South #111 Job Site Phone
Parcel No Lot No Subdivision Name
Owner/tenant Mail Address Phone
Evergreen Dental
Electrical Contractor Address/phone 841 Powell Ave SW ElcctriDTSESIoal contractor 320license5 number (copy req'd):
A
ADT Security Services, Inc. Renton, WA 98055 Expiration Date: / 12 / 99
Use of Bldg: 0 SF Res o Comm 0 Other 0 Multi 0 Church/School Class of Work: O New 0 Alteration 0 Addition 0 Repair
Describe Work: Install Low Voltage Security System
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a _Single Family _Service or feeder only $41
review is 'd. Fee is 35% of (First 1300 f -$62;Each add'n 500 11'420) Service and feeder 67
planreq'd. _Square Feet: 1
permit fee +$52. Add'! plan review _Each outbuilding or garage $26 MOBILE HOME/RV PARK
for other submissions is $62/hr. .. (inspected with service) #of service or feeders
Each outbuilding or garage $41 (First service/feeder-$41;Add'n service/
(Inspected separately) feeder-$26 each) 1
MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL
(Includes three units or more)
#of Thermostats(First t-stat-$31;add'n-$10 ea) Amps Service or Add'n
of Low voltage fire or burglar alarms
YefuService Feeder Feeder
sidential:first 2500 R'-$36;Each add'n 500 R'-$10) _Up to 200 amp . . . . $67 $20 _0 to 100 $67 . . . . $41
(Commercial: 1-4 zone-$36,Each add'n zone-$10) 201 -400 amp . . . . 83 41 _ 101 -200 83 52
401 -600 amp . . . . 114 57 _201 -400 156 62
_#of Signs (First sign-$31;Each add'n sign$15) 601 -800 amp . . . . 146 78 —401 -600 182 73
Progress inspection per V2 hr $31 — _
801 and over 208 156 601 -800 235 99
_Swimming pool,hot tub,spa 60 _
801 - 1000 287 . . . . 120
_Temporary Pole 36 over 1000 313 . . . . 167
_
'Yard Pole meter loops 41 _Over 600 volts surcharge 52
_Mast or meter repair 57
ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be (When inspected separately from the services.)
made the following work day,253.661.4140. Altered Service or Feeders
Service or Feeder 0 to 200 $67
I hereby certify that I am the owner(or _0 to 200 amp $57 _201 -600 156
authorized agent)of the above named property, 201 -600 amp 83 _601 - 1000 235
or a licensed contractor(or firm's authorized over 600 125 _over 1000 261
agent)and am making the installation or Mast or meter repair 31 _#of circuits
alteration in compliance with all applicable _#of circuits 40 (First 5 circuits-$52;Add'n circuit-$S each)
city,county,and/or state laws. (1-4 circuits-$41;Add'n circuits$5 each)
Temporary Service
Applicant's Signature: _0 to 100 $41
101 -200 52
T. Estep
_201 -400 62
206-389-6961 7/15/99 _401 -600 83
Date: _over 600 94
Etrcnuc.Arr
Rtvisty 1218/98