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95-102770 9�'/a a��d CITY OF F�EUERAL WRY PERMI�C N0: �I._E�35--0718 �3��a��z ��� w�� sou�r, �.�.�M.�'�.��.��.+�.�"���... �'`�:�'����.� ISSUED: 1�/17/95 Fe�eral. Way, WA gF3Q03 Builciing Inspection Requests d61--4140 BY: FC2 661-4000 EXPIRES: �.0/10/9f ADDFtE55:2016 S 287TH PL NO. : 4222Q0--0170 � PROJECT DESCRIPTIQN:ELECTRICAL - INSTALL 15 AMP CIRCUIT � F= OWNER aasa^sa-aaaa�=�•.___�_-__meosema__aeaascm^oox^va==s�= CONTRACTOR =---=--------�________----______-_�___�_====�m LENDER xm^-=sx---Qasaaaoaesasaes¢mmxsssa_e:�--_-x-aaaG � ... .. __ __________ - �__- ____ __ ^ _ _ � NIIIIAM BONEN � HORTHMEST MATER HEATER ELEC. � I R i 2016 S 2811H PL I 2800 THORNDYKE AVE WEST � iFEDERAL NAY WA 98003 � SEATTLE NA 98199 � 946-0701 ? NORTHWN099J1 eQaa�aaaaoenacaasaooeaaxeeavaaesxae:saxosxasasaaasoaancve aazsrsaa�eeaes=a_e=�a�=manmaaaaaaasaee�aoo�=xasx�asvaxaasr.a mx=seec=os:exxmea==axc=mx==ax=�as=xsxs_a=seass=s=sae_aauas� ;;� COMTRACT�S, PLEASE USE LOCATIOM CODE 1732 IINEM REP�tTIM6 SALES TAX F� PROJECTS YIIHIN TNE CITT OF FEDERAL NAT. TAX RATE = 8.2� *�_ F=xsoaaammaaa�s�=nc�moe�szeasesarr:ava�sc�aasx�=�===x=x�==aca�Tsa��a========v==aoaax�===ae=s==�saxx s�ssas��e�aa=s_�cr.e=mmmmasamxaxa=aa==a =esmeass�a=aasa=aac=�=�==�=acczsa=�s� � # STRUCTURE INFORMATION � I # HEN RESIDENTIAL # � # MOBILE NOMES � � RESIDENTIAL ALTERATIONS * � MUILTI FAMILY NEW � ! � I I SEV FEED ! CONST. TYPE.: V-N � NEW SIN6LE FAM.: I SERVICE 4R FEfDfR OHLY: 0 0-200 AMPS........: 1 0-200 AMPS...: 0 ... 0 ! � OCC. 6ROUP..: � OUT BUILDIN6S..: 0 I SERVICE AND FEEDER,...: 0 201-600 AMPS......: 0 201-400 AMPS.: 0 ... 0 ( � OCC. LOAD...: 0 I SERVICE OR FEEDER (PK): 0 OVER 604 AMPS.....: 0 401-600 AMPS.: 0 ... 0 � SQUARE FEET.: 0 i r MAST/MEiER REPAIR.: 0 601-B00 AMDS.: 0 ... 0 � I NUMBER OF CIRCUITS: 0 I 801 AND OVER.: 0 ... 0 � ! �___________________�.._______.._ _ ___..A____________________�________________________ ________ ___..__.___________________ ____________1____________________________________� � � COMM, ALTERATIONS � � TEMP SERVICE $ � MISCELLANEOUS � # COMM/IND NEM # � $ INSPECTIOH RECORD $ ! 0-100 AMPS.,...: 0 ... 0 � SERVICE _____________ DATE __________ � 0-200 AMPS......: 0 0-100 AMPS....: 0 THERMOSTATS....: Q 101-200 AMPS...: 0 ... 0 201-600 AMPS....: 0 � 101-200 AMPS..: 0 LON VOLTAGE....: 0 201-300 AMPS...: 0 ... 0 COVER.. .._____________ DATE __________ 601-1000 AMPS...: 0 � 201-400 AMPS..: 0 SNIMMIN6 POOL..: 0 301-600 AMPS...: 0 ... 0 � OVER 1000 AMPS..: 0 � 401-600 AMPS..: 0 SIGNS..........: 0 601-800 AMPS...: 0 ... 0 FINAL.. _____________ DATE _..________ � NUM. OF CIRCIUTS: 0 � OVER 600 AMPS.: 0 � TEMP. POLES....: 0 801-1000 AMPS..: 0 ... 0 COMMENTS: 1-------------- ----- - ... 0 � ------------�------------------- - - -------� YARD METER LOOP: 0 OYER 1000 AMPS.: 0 � iOTAI PEAMIT FEES.......: 55.00 I OVER 600 VOLTS.: 0 I , � MAST/METER RPR.: 0 �a�a:^xe_sa=a_a�_mm_aa=_�_=n�-:sms,c_s__a_mom_om�a ...cv�oeox �s v- mmaa�aeexc� aaalvsma_�vaasoaasaose_s_xxexsexa_�=ms_e_aas�.assaeeasas_aavvaxa_sao�oses^==a=ce__,�aave_a� �fRMITS EXPIRE 180 DAYS AFTER ISSININCE IF UO K IS ST NTIAL AND 6RAD PERMITS EXPIRE ONf YEAR AFTfR DATf OF ISSUAIICE. I CERTIfY TIYIT THE INFORIUITI011 fURNISNED ME IS THE BEST 0 (NOMLED6E AMD TNE APPLICA�E CITY OF FE�F,BAI`YAY REQUIREMEMTS YIII BE MET. OWNER OR AGENT ___�_______________..,_.._._ __ _ DATE �v1_I_� _��_ / � FILE COPY «n� �-- `,;�„r��'v�� 33530 First Way South � E� Pecleral Way WA 98003 �� ��/ Phone (206) 661-4000 ���'� � � �99� �L�CTI�ICAI. PE������ICATION � . ELE- � - Q Job Addau � - � ' � � � �,l � � '%' Job Site Phone(� —•� -�-� ) �' �'�� �i- 4 � `l �.J � Parcd No („� � '1 �� � � 1 ' Lot No Subdivision Name Owner � � Mail Address � Phone �• � � ' �. _ 1) /� E' ,. '� � — �d �'� (! '�/� ���� ��/� � i'�i �/`s - � � �' ` �'�.(" �� � � ��� �� �� Electrical ContracWr ��I tess !� � , � Phone 3'' Y r° � y,:, r e�`.:. � t N \}'�� �_� `[ � g � 1 � � V�' LiconscNotl�(;✓=!j`�� r��������� �`1.}-" , �' �'" �T: �, ;��d. � C�_., :� 1-` , ,;� . ,� Expiration Detc �: � Use S ❑Other oMulti �Church/School Class of Work: oNew oAlt�ration oAddition oRepair Describe Work: ,� � ; -- j�� �. T�s�, ,,� - _ -� � r�. j.�; /c.� �f-1�a �' (�,( '� , ;-�- , _� , . � � . . __ _ �, :, � . : Type of Const: � NEW RF.SIDENTIAL SERVICES MOBII.E HOMF.S Occupancy Group: Service or feeder oaly . . . . �40 Occupancy Load: _ Single Family Service and feeder . . . . . . . 65 Square Feet: (First 1300 ft2-�60; Each add'n � 500 ft2-$20) MOBILE HOME/RV PARK If plans are required for review� the fee is # of service'or feeders 35`Yo of the permit fee plus�50. Additional _Each outbuilding or garage . �25 (First service/feeder-�40; Add'a plan review for other submissions is$60/hr. service/feeders�25 each) MISC EQUIPMENT/TEMP SERVICES NEW MUT,TI-FAMILY COMNIERCIAL/INDUSTRIAL #of Thermostats (Tncludes thrae units or more) Amps Serv,ice or. Add'n (First thermostat�30;Add'n thermostats- Service Feeder E�e,eder ' $10 each) _ Up to 200 amp . . $ 65 . . . S 20 0 to 100 . . . . . :�S 65 . . �40 ' _#of Low voltage fire or burglar alarm 201 -400 amp . . 80 . . . . 40 _ 101 -200 . . . . . 80 . . . 50 (First 2500 ft�-535; Each add'n 500 ft�-$10) 401 - 600 amp . . 110 . . . . 55 201 -400 . . . . . 150 . . . 60 _f/of Signs � _ 601 - 800 amp . . 140 . . . . 75 401 - 600 . . . . . 175 . . . 70 (First sign-$30; Add'n sign-S15 each) 801 and over . . 200 . . . 150 601 - 800 . . . . . 225 . . . 95 _Progress inspaction per hr . . . . . . $60 _ 801 - 1000 . . . . 275 . . . 115 _ Swimming pool, hot tub, spa . . . . 60 over 1000 . . . . . 300 . . . 160 _Temporary Pole . . . . . . . . . . . . 35 Over 600 volts surcharge . . . 50 _ Yard Pole meter loops . . . . . . . . 40 Mast or meter repair . . . . . 55 ■ Issuance fee for each permit . . . . . 20 ALTERED SINGLE- OR COMII�RCIAL/INDUSTRTAL � Inspections requested before 330 will be MiJLTI-FAMII,Y Altered Service or Feeders made the following work day, 661-4140. (When inspected separately from the 0 to 200 . . . . . . . . . . . . S 65 ices.) 201 - 600 . . . . . . . . . . . . 150 I hereby certify that I am the owner(or Service or Feeder 601 - 1000 . . . . . . . . . . . 22S authorized agent)of the above named 1 to 200 amp . . . . . . . . . . � 55 over 1000 . . . . . . . . . . . . 250 property or a licensad contractor(or firm's O1 -600 amp . . . . . . . . . . 80 li of circuits • authorized agent) and am making the over 600 . . . . . . . . . . . . . 120 (First 5 circuits-550;Add'a installation or altecation in compliance with _Mast or meter repair . . . . . . 30 circuits-SS each) all applicable city , and state laws. _1J of circuits . . . . . . . . . . . . 40 Temporary Sarvice � (First circuit-�40;Add'n circuit- 0 to 100 . . . . . . . . . . . . . S40 Appli t's e• f 5 each) � 101 - 200 . . . . . . . . . . . . 50 201 - 400 . . . . . . . . . . . . 60 401 - 600 . . . . . . . . . . . . 80 � over 600 . . . . . . . . . . . . . 90 r Date: � �� �ni�vs •