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19-103859
1 l' , ,4 Electrical City of Federaly Permit #:19-103859-00-EL Community Development Dept. w. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 P11:(253)835-2607 Fax:(253)835-2609 Project Name: TRAN Project Address: 29818 23RD AVE S Parcel Number:768380 0214 Project Description: Replace meter base and panel; rewire basement for code compliance; add lighting;relocate light switch. Owner Applicant Contractor HIEN Q TRAN AT YOUR SERVICE ELECTRIC LLC AT YOUR SERVICE ELECTRIC LLC 7815 S 115TH AVE PO BOX 203 YOURSYS823Q8(11/28/20) SEATTLE WA 98178 BLACK DIAMOND WA 98010 PO BOX 203 BLACK DIAMOND WA 98010 Additional Permit Information Is this an Online or O.T.C.application9 Yes ?oa r " ..- Alt. Serv./Feeder:0 to 200 amt 1 Mast or Meter Repair(Resider. 1 PERMIT EXPIRES Saturday,8 August,2020 Permit Issued on Friday,August 9,2019 I hereby certify that the bove information is correct and that the construction on the above described property and the occupan the use will be in accordance with the laws, rules and regulations of the State of Washington the City of Federal Way. Owner or age : Date: Wel C lC� / `/ ' _ , THIS CARD IS TO REMAIN ON-SITE CITY Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 103859 00 Address: 29818 23RD AVE S Project: HIEN Q TRAN FEDERAL WAY WA 98003-4252 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. •0 UFER Ground(4295) •'•❑ Ditch cover(4030) ,� Slab/Concrete Floor(4255) t. Approved Approved I Approved to place concrete By Date ; By Date By Date 0 Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235) Approved Approved Approved isi By Date By Date By '... Date ® Feeders/Sub-panels(4045) ® Rough Electrical(4225) n ® Ceiling Cover(4020) Approved pproved /... 2V Approved By Date By Date • ��,1 By Date El Final-Electrical(4055) By i,pproved Date loWtga 0 Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED �: AUGo s 2019 ELECTRICAL CITY OF AG Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION COMMUNITY DEVELOPMENT PERMIT NUMBER / 9 _ / a 3 g s q _ cL 8 I 8 2 3 ,(� � ^` OC SUITE/UNIT/SPACE# SITE ADDRESS: AN, -• ``J, PROJECTL 2Uc) � ASSESSOR'STAX/PARCEL CURRENT/PROPOSED USE NAME (Tenant or Homeowner Last Name) �_r&K PROJECT DESCRIPTION V`t z"' 'e' ' /y\de ld Detailed description of work to be included on this permit only f . ,ryj , 1(1a.620,0„.k, . 2 DD h(.,_ _ Clar1 NAME j PRIMARY PHONE PROPERTY OWNER r e` �v -Y\ ( ) - MAILING ADDRESS E-MAIL act atE) 2.fSTATE 3 6 1 y ,s, �l/VC_ VV l So FAX NAM. N- \i/ Z PRIMARY PHONE >>P�'v►C L fl , (3100) -lot_ Qoeti vnADzRESS ELECTRICAL4/14.NIAW-A-14602e ^"'' 3 (44, 'c%`-';l 1 CONTRACTOR lY � -, lr sTAT zl ts�10 FAX WSTATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# `�c�c�2S\(S 'z8 a8 / N 1PRIMARY PHONEON APPLICANT V' W ��d V) 61(2,f4 s ( -7q i tAV LING ADDRESS E-MAIL Pow 2c-) lock� Q STAT Iv��^©K3 FAX N E S ham� r`,vgy..fr, ( ) PRIMARY PHONE PROJECT CONTACT Al 8(� -'Z t0 C._ Qcci-7 a O.)` 9 3 ( ) 74 Z -cfb 4 7 r`" 18-- " I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city, but only where such '.i' arises out of the relian of the city, including its officers and employees, upon the accuracy of the information supplied to city as a part of this a:• cation. 4 441 ' ' Std 1 -b t SIGNATURE. ,p DATE / PRINT NAME: 5 V�Y\ 1---- ` Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application