21-101050 � � �
Electrical
CityofFederalWay Permit #:21-101050-00-EL
Communiry Development Dept.
33325 8th Ave S
Federal Way,WA 98003 � ' � � Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 �
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Extend existing 20 amp 120 v circuits-to new exhaust fans.
Owner Applicant Contractor
JOHN ELSWICKFRANCISCAN HEALTH AMMONE BEMBRYMACDONALD MACDONALD MILLER FAC SOL INC
SYSTEM-W MILLER FAC SOL INC(ELECTRICAL) (ELECTRICAL)
1717 S'7"ST �717 DETROIT AVE SW MACDOMF972BF(1/6/23
TACOMA WA 98405 SEATTLE WA 98198 7717 DETROIT AVE SW
SEATTLE WA 98106
Additional Permit Information
Is this an Online or O.T.C.application?..................Yes
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Circuits-Commercial 2
PERMIT EXPIRES Thursday, l7 March,2022
Permit Issued on Wednesda.y,March 17,2021
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
s ' ton���of Federal Way.
Owner or a ent: � Date:
9
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` TH1S CARD IS TO REMAIN ON-SITE �
�m� Construction Ins�ection Record
Federal Way INSPECTION REQUE TS:(253)835-3050
PERMIT#: 21 101050 00 Address: 34515 9TH AVE S
Project: JOHN ELSWICK FEDERAL WAY WA 98003-6761
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 appmpriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspeclion sequence. On-going inspections are logged on the back of this card.
0 UFER Ground(4295) � Ditc6 cover(4030) Q Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Q Pool Bonding(4195) 0 Temporary Power(4275) Q Service(4235)
Approved Approved Approved
By Date By Date By Date
� Feeders/Sub-panels(4045) 0 Roug6 Electrical(4225) �❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
3� Final-Electrical(4055)
pproved
By Date �'��� � �
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� Rough Electrical � Final Electrical � Right of Way
Appmved Approved Approved
By Date By Date By Date