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CKViOF R EC -rr._. i A r—I BUILDING DMSION
33530 First Way South
O ff, r 2 611111 Federal Way WA 98003
VWXJN;�
(253) 661-4000
Fax (253) 661-4129
ELECTRICAL PERMIT APPLICATION
***Federal Wax Business License number:
Job Address j/ 3:� y -t1 54 • J t e 131 o 3
Job Site Phone
Parcel No Cj OO S O - Q $Q -
Lot No Subdivision Name
Owner/tenant
Ma'I Address 3 Z-h S S �i U ,3
��j
Phone
rm A)" l Ma.('irle-5
ad r
(�v Lea - �f 9
Electrical Contractor
Add": phone
Xv f.3v� Cl3�, Tce6ontc. LJ11
Llcetrial contractor license number (copy req'd):
A-fAF_R1N*J01S_8 _ - --
���r �L�� �7LQ�
9F(TQ o0 3-- -
Expiration Date: {p / �� l 2000
Use of Bldg: ❑ SF Res jd Comm ❑ Other ❑ Multi ❑ Church/School
/
Class of Work: ❑ New FJ Alteration ❑ Addition 0 Repair
Describe Work: "Z FXI-57-IV6 f'OVJ6J-
NEW RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
_ Single Family
_ Service or feeder only ........ $41
plan review is req'd. Fee is 3 5% of
(First 1300 W-$62; Each add'n 500 W420)
...........
— Service and feeder 67
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-$3 1; add'n-$10 ea)
Amps Service or Add'n
_
# of Low voltage fire or burglar alarms
Service Feeder
Feeder
_
(Residential: fast 2500 I -$36; Each add'n 500 W410)
_ Up to 200 amp .... $ 67 ..... $ 20
0 to 100 .......... $ 67 .... $ 41
(Commercial: 14 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 (Fits[ sign-$31; Each add'n sign $15)
_ 601 - 800 amp .... 146 ...... 78
........ ... _
— 401 - 600 182 ... 73
Progress inspection per % hr ........ $31
801 and over .208 ..... 156
.. , ..
........ . _
601 - 800 235 99
_ Swimming pool, hot tub, spa ......... 60
_ ........ .....
801 - 1000 287 120
or Tem Pole 36
Temporary ' " " " " " " " " "
....... ....
`.
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 ..................
(First 5 circuits-$52; Add'n circuit-$5 each)
city, county, and/or state laws.
(14 circuits-$41; Add'n circuits $5 each)
Temporary Service
Applicant's Si nature:
0 to 100 ............... . ... $41
y 101-200 .................. 52
201-400 .................. 62
v 401-600 .................. 83
Date:
over 600 ................... 94
EIELmc,MP
REMM 12/8/98