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ELECTRICAL -PERMIT APPLICATION
'Federal Way Business License number: E�C7'Lj S
BUILDING DMSION
33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
ELE'
Job Address 2 l C kj
Job Site Phone
Parcel No
Lot No Subdivision Name
Owner/tenant
Mail Address
—
Phone
Electrical Contractor
Addresa/phone 3 15 -
Eleetrial contractor license number (copy req'd):
/ANDE71/1
5z ZZtrk 57'
Tf�►.5 �C ' a H r�1=
Expiration Date:
Z
3 OtJ
Use of Bldg: )(SF Rea O Comm ❑ Other c3Multi ❑ Chureh/School Class of Work: O New O Alteration Addition 0 Repair
Describe Work:
SRC /N i?ox f6X AA1 110bl non) 7D 5i DC Df= f/vuv�
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 f -$62; Each add'n 500 ff 420)
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-stet-$31; add'n-$10 ea)
Amps Service or Add'n
_ # of Low voltage fire or burglar alarms
Service Feeder
Feeder
(Residential: first 2500 f -$36; Each add'n 500 fe-SIO)
_ Up to 200 amp .... $ 67 ..... $ 20
0 to 100 .......... $ 67 .... $ 41
(Commercial: 1-4 zone-$36, Each add'n zone-$l0)
_ 201 - 400 amp .... 83 ...... 4I
101 -200 ........ 83 ..... 52
_ # of Signs (First sign-$31; Each add'n sign $15)
_ 401 - 600 amp .... 114 ...... 57
_ 601 - 800 amp .... 146 ...... 78
201 - 400 ........ 156 ..... 62
— 401 - 600 182 73
_Progress inspection per %2 hr ........ $31
801 and over ...... 208 ..... ] 56
........ .....
— 601 - 800 235 99
Swimming pool, hot tub, spa ......... 60
—
� ........ .....
_
Temporary Pole ................... 36
801 - 1000 ....... 287 .... 120
_
Yazd Pole meter loops .............. 41
_over1000 ........ 313 .... 167
_
_ 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 .................. 40
J
(First 5 circuits-$52; Add'n circuit-$5 each)
city, county, and/or state laws.
(1-4 circuits-$41; Add'n circuits $5 each)
Temporary Service
Applicant's Signature:
Y 0 to 100 ............... 1 — $41
101-200 .................. 52
201-400 .................. 62
401-600 .................. 83
over 600 ..... 94
.�
p
Date: '�� Gj 99
ELw mC.APP
".. 12/8/98