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CDO1 B3 (Rev 4/97)
08/26/1999 12:56 1-206-770-1767 EUERGREEN ELECTRIC PAGE 02
OF
BVILDINO DmajoN
( 33530 First Way South
- "Olpk_
IN' Federal Way WA 98003
(253)661-4000
C6P*1
Fax(253)661-4129
ELECTRICAL PERMIT APPLICATION
"'Federal Way Business License number: ELE
JebAddmae 32315 21 t Ave.Federal Way Job Sits Phone
Frtr el No Lot Na Subdivision Name
OwaffAeoant ( Bryan & Katie Wi 11 aAi( Addren (Puyallup) Phone
Hi -Line Homes 11210 Woodland Ave E. 253-840-1849
8leoaiwl conaadw Ad&caiphone P.O. BOX 1448 Eteetrial OmAmtw liven+* number (copy req d):
Evergreen State Electric 2 - 7Orting, WA. 9836 EVERGSEO JA
F baton D*w. 01
Uee et Bldgi M SF Rae a Co® 0 Other O Multi Q Church/Scheol Cl. of Woriu gNew o A1ters4on o Addition G Repair
Describe Work:
Residential New Construction
NEW RESIDENTIAL SERVICES MOBILE HOMES
If service is greater than 200 amp, a ^ E Single Family _ Service or feeder only ....... S41
plan review is req
c (First 1300 R'-562: Each add'a son R' -520) Service and feeder ... - . 67
d. Fee is 3 5 /t, of square Feet: 15 O B Sq _ Ft _
permit fee +S52. Add'1 plan review Each outbuilding or garage ..... S26 MOBILE HOME/RV PARK
for other submissions is $62/hr. -' (inspected with service) # of service or feeders
Each outbuilding or garage ..... S41 (Pita swvice/feeder-S41; Add'n service`
— _ (Inspected separately) feeder-S26 ewh)
MISC EQUIPMENT/TEMP SERVICES NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL
(Linda Wee units or rnof
_ # of Thermostats (First rmat-s31; am,n-s10 ee) Amps Service or Add'n
# of Low voltage fire or burglar alarms Service Feeder Feeder
(Rmidential: fau 2500 IP436; Fjeh add'n 500 tt'-$10) _ Up to 200 amp .... $ 67 ..... $ 20 _101 - 200 0 to 100 .......... S 67 .... $ 41
(CanmerciRl: 1.4 zone-536, Each add'n zone-Slo) 201 - 400 amp .... 83 ...... 4I
— ........ 83 52
_ 401 - 600 amp .... U 4 ...... 57 _ 201 - 400 ........ 156 ..... 62
_ #{ of Signs (First si®r,S31: Fach add'n ai�t Sl S) _ 601 - 900 amp .... 146 ...... 78 401 -600 ........ 182 . - ... 73
Progress inspcction per'K hr ........ S31 801 and over ...... 208 ..... 156 _ 601 - 800 ...... , . 235 ..... 99
— Swimming pool, hot tub, spa ......... 60 901 - 1000 ....... 287 120
Temporary Pole ................... 36 over1000 ........ 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 (where inspected mpg araly fmn tlw services.)
made the following work day, 253.661.4140. Altered Service or Fcoders
Service or Fender _ 0 to 200 ............ . ...... $ 67
I hereby certify that I am the owner (or — 0 to 200 amp ................ S 57 — 201 - 600 ................. 156
authorized agent) of the above named property, _ 201 - 600 amp ............... 83 _ 601 -1000 ................ 235
or a licensed contractor (or fum'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 arcuits-s52: Aae'n oireuir.SS each)
city, county, and/or state laws. (1-4 circuits-SQ, Add'n circuits S5 auk)
Temporary Service
Applleant's Signature: 0 to 100 .............. . .... S41
—_ 101-200 .................. 52
201.400 .......... 62
_ 401 -600 ... 83
Dwtc: 0 20
9 9 vvcr 600 . .... ... 9411
•
t A08/26/99 THU 13:57 [TX/RX NO 62121