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CITYOF
�- ED
►Iu; p Q1 CTRICAL PERMIT APPLICATION
***Federal Way Business License number: Z_—
BUILDING DIVISION
33530 First Way South
Federal Way WA 98003
(253)661-4000
Fax (253) 661-4129
EL �D%
Job Address 31�y 5 2� � �a �'�'
Job Site Phone 12.x.,_) Z LVC - Z `4 -7 1
Parcel No 3 2 (o o g 1 - O IS o
Lot No 110- Z
Subdivision Name j-F R i T A (n (* � ® oiJ 5
Owner/tenant
Mail Address (0510 5701''Nz43.'Z-q- tu, P
Phone
SC4N>E II%� Hor s
TVU_W I -A C1f31 %1;6
(7aW_) 2 4%-`�y11
Electrical Contractor
Address/phone i to ` - 3 t^ • ZZ N 9 A V t
Eleetrial oonlractor Iiccnse number (copy mg if):
S' 4 1H
Ot�tir� G 1 PC W p, 900SO l
S 4 L.LC -9 0L4 41—t—
Expiration Data: u / 0 4,1 / Zoa-+
Use of Bldg: ❑ SF Res ❑ Comm ❑ Other ❑ Multi ❑ Church/School Class of Work: DiNew 17 Alteration o Addition ❑ Repair
Describe Work: L91,-> \/,D1—T A CC- 5'1ce CIV 2l _V-1 20 - 3 e,%- 4-
NEW RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
_ Single Family
^ Service or feeder only ........ $41
tan review is re ' d. Fee is 3 5% of
p q
(First 1300 ft -$62; Each add'n 500 ft -$20)
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 Thermosta*s (First t-stat-$3 1; add'n-$10 ea)
Amps Service or Add'n
1 # of Low voltage fire or burglar alarms
Service Feeder
Feeder
(Residential: first 2500 ft -$36; Each add'n 500 W410)
_ Up to 200 amp .... $ 67 ..... $ 20
0 to 100 .......... $ 67 .... $ 41
r_
(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
r 401 - 600 ........ 182 ..... 73
_ Progress inspection per %2 hr ........ $31
_
801 and over ...... 208 . , ... 156
— 601 - 800 ........ 235 ..... 99
_ Swimming pool, hot tub, spa ......... 60
T
801 - 1000 ....... 287 ... 120
_ Temporary Pole ................... 36
— over 1000 ........ 313 .... 167
_ Yard Pole meter loops .............. 41
r_ 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
J 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 Signature:
^ 0 to 100 ................... $41
101-200 .................. 52
_
201-400 .................. 62
q 11 Et
_
_ 401-600 .................. 83
over 600 94
Date: icj
...................
ELECMC.APP �J \✓) �
Reviser 12/8/98 7 /
0 /