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ELECTRICAL PERMIT APPLICATION
BUILDING DIVISION
33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 6614129
* "Federal Way
Business License numbei )1.61N5 OEP I. ELE`M _ 10 y
Job Address l `3 `
Job Site Phone
Parcel No
Lot No Subdivision Name
Owner/tenant
Mail Address &Ti 0 S ' �Ae,- SI.IJ
14
Phone
Q.c"'
�-�� I
$ I g
-.2—tJ L — 1 4 7 �
Electrical Contractor
Address/phono'2'a07 f ftx--� D
Elootrial aontr
P L CLk►r4 3 ]
17
tr C..
S' 3 -- —
E>�iration 17.ta: a 1 1
Use of Bldg: la SF Res 17 Coo= o other o Multi 0 Church/School Class of Work: U14aw O AhersUon O Addition a Repair
Describe Work:
1V 1 i
If service is greater than 200 amp, a
NEW RESIDENTIA! ERVICES
mingle Family
MOBILE HOMES
Service feeder
or only ........
$41
plan review is req'd. Fee is 35% of
(First 1 et fl'»$62; Each add'n soo 420)
Square Fpe: ' ' �
_ Service and feeder .........
, . 67
permit fee +$52. Add'l plan review
� ��
Each outbuilding or garage $26
for other submissions is $62/hr.
— .....
(inspected Nyi service)
MOBILE HOME/RV PARK
# of service or feeders
— Each outbuilding or garage ..... $41
— (First „ice/feeder-Sy1; Add'n aervicel
(Inspected separately)
feeder-S26 each)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three uniu 'or more)
_ # of Thermostats (First t-stat-S31; add'n-$10 esj.
Amps Service or Add'n
_ # of Low voltage fire or burglar alarms
-Service Feeder
Feeder
(Residential: first 2500 ft -S36; Each add' Al
(Commercial: 1-4 S 6, Each ad
zone 3 d'n zone-Slo) :_,
,� 67
p' $ 20
`-'` '
— 0 to 100 .......... $ 67 ....
$ 41
.
201 00` 83 ... 41
101 - 200 ...... 83 ..
52
— # of Signs (First sign-531; Each add'n sign S1S) '
401--600.4ti .... 114 ...... 57
601 - 800 amp .... 146 78
_ , ,
_ 201 - 400 156 ...
,
62
— Progress inspection per hr ........ $31
801 and over ....... 208 156
_ 401 - 600 ........ 182 .....
73
— Swimming pool, hot tub, spa ......... 60
— .....
— 601 - 800 ........ 235 .....
99
_ 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 3:30pmwill _be
(When iacpecteda,-katelyfrom the sevicm
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 thb 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-S41; Add'n circuits $5 each)
Temporary Service
Applicant's Signature:
0 to 100 .
$4
101 - 200
201-400 _ ................
62
401-600 ..................
83
Date:
_
over 600 ........ . ..........
94
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