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E0086 VM AVM 1V81411 V80086 M AVM 1U13 3 AM 0400418 MS ANN 00E II d30) SA09 N9IS 1 14611014 A111033 2 )111160) 1 NIS 111314101011 I 10J 1111)11)313 - 313:N011(11 8D13:3(1 1.):11'021d OZ00-00L688 : 'ON DIAL) M 0047476:SSMICKIV 00/cI/L0 :331IdX3 000 -- -199--EGZ T)-1 :, j 0.7T9-'199--ESZ sqsartlooli uoil:)edsui TepTiqDeT3 E0086 LJM 'AvM iv-iaPa 1 66/ /IO :(1:1115SI IIW83d ''"PriD1:81 :7,11:313 InnoS Aell 4S- 1J 0E15E6 16L0-66313 :ON LIWId3d A AVM 1Vd3(13d JO AIL) , .., , .. CITY OF BUILDING DIVISION • F� 33530 First Way South w Ay R F C E!V F r Federal Way WA 98003 (253)661-4000 Fax(253)661-4129 ELECTRICAL PETIT APPLICATION ***Federal Way Bus*u'l �ine0l4s i nse number: ELE q 03-67 Job Address - 10 - (,,,,A cf3 Job Site Phone Parcel No Lot No Subdivision Name Owner/tenant e 0� Mail Address Phone I Electrical ContractorGAs Address/phone r)(LE r ;'ri s+ C. Electrial contractor license number (copy req'd): Qt4 Expiration Date:Z. / �� /-)..--tro-c) - Use of Bldg: ❑SF Res O Comm o Other ❑Multi ❑Church/School Class of Work: ❑New ❑Alteration o Addition ❑Repair Describe Work: Gcn.lv I f o("-TC-A ` NEW RESIDENTIAL SERVICES MOBILE HOMES If service is greater than 200 amp, a _Single Family —Service or feeder only $41 (First 1300 ftft 2-$62;Each add'n 500 '-$20) _Service and feeder 67 plan review is req'd. Fee is 35% of Square Feet: permit fee +$52. Add'l 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) 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 Service Feeder Feeder (Residential:first 2500 ft-$36;Each add'n 500 ft2-$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 _ %h#of Signs (Fits[sign-$31;Each add'n sign$15) _601 -800 amp . . . . 146 78 _401 600 182 73 —Progress inspection per r $31 —801 and over 208 156 601 800 235 99 —Swimming pool,hot tub,spa 60 — _Temporary Pole 36 —801 - 1000 287 . . . . 120 —Yard Pole meter loops 41 —over 1000 313 . . . . 167 _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 (First 5 circuits-$52;Add'n circuit-$5 each) city,county,and/or state laws. (1-4 circuits-$41;Add'n circuits$5 each) Temporary Service Applicant's gnature: _0 to 100 $41 101 -200 52 201 -400 62 _401 -600 83 Date: / _over 600 94_ ELErnucApp REVISED 12/8/98