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ELECTRICALF'ERMIT
BUa DING DIVISION
33530 First Way South
Federal Way WA 98003
(206) 661-4000
Fax (206) 661-4129
APPLICATION
ELE q I -
Job Address V.
Job Site Phone
Panel No
Lot No Subdivision Name
Owner
Mail Address
Phone
n r sri til , �� .
c � ,� S-5 2, �y
Electrical Contractor
Mail Address
Phone
LiceanNo.
_
rt�✓v>�_-.�
1
;�.� J is.%'l�, �� �S�fj
ExPirati4aliais U �1��
t
Use of Bldg: O SF Res ck!%mm O Other O Multi O Church/School
Class of Work: G1fi1✓ew O Alteration O Addition O Repair
Describe Work:
Type of Const:
NEW RESIDENTIAL SERVICES
MOBILE HOMES
Occupancy Group:
_ Service or feeder only ........ $40
Occupancy Load:
_ Single Family
Service and feeder ........... 65
Square Feet:
(First 1300 V460; Each add'n 500 f -$20)
MOBILE HOME/RV PARK
If service Z 400 amp, plan review is req'd. Fee
—Each outbuilding or garage ..... $25
_ # of service or feeders
= 35% of permit fee +$50. Add'1 plan review
(First se vice/feeder-S40; Add'n service/
for other submissions = $60/hr.
feeders-$25 each)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
# of Thermostats
Amps Service or Addh
J (First thernwstat-$30; Add'n thermostats410 each)
Service Feeder
Feeder
i # of Low voltage fire or burglar alarms
_ Up to 200 amp .... $ 65 ..... $ 20
J 0 to 100 .......... $ 65 .... $ 40
(First 2500 ft -$35; Each add'n 500 fe-$lo)
_ 201 - 400 amp .... 80 ...... 40
_ 101 - 200 ........ 80 ..... 50
_ # of Signs 3° n"a 0 rri_f-
_ 401 - 600 amp .... 110 ...... 55
201-400 ........ 150 ..... 60
(First sign-$30; Add'n sign-$15 each)
_ 601 - 800 amp .... 140 ...... 75
401 - 600 ........ 175 ..... 70
Progress inspection per hr .......... $60
— 801 and over ...... 200 ..... 150
601 - 800 ........ 225 ..... 95
_
Swimming pool, hot tub, spa ........., 60
_ 801 - 1000 ....... 275 .... 115
_
Temporary Pole ................... 35
, over 1000 ........ 300 .... 160
_
Yard Pole meter loops ............... 40
_ Over 600 volts surcharge ...... 50
_
Mast or meter repair .......... 55
ALTERED SINGLE/MULTI FAMILY
COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30 will be
(When inspected separately from the services.)
made the following work day, 6614140.
Altered Service or Feeders
Service or Feeder
0 to 200 ................... $ 65
I hereby certify that I am the owner (or
_ 0 to 200 amp ................ $ 55
_
201-600 ................. 150
authorized agent) of the above named property
_ 201 - 600 amp ............... 80
_ 601 - 1000 ................ 225
or a licensed contractor (or firm's authorized
_ over 600 ................... 120
— over 1000 ................. 250
agent) and am making the installation or
_ Mast or meter repair ........... 30
_ # of circuits
alteration in compliance with all applicable
_ # of circuits .................. 40
(First 5 circuits-$50; Add'n circuit-$5 each)
city, county, and state laws.
(First circuit-$40; Add'n circuit-$5 each)
Temporary Service
Applicant's Signature:
—0 to 100 ................... $40
101-200 ...-,...............50
r
401-600 .................. 80
Date: l4s- h
— over 600 90
ELzrnucArr
RzmED IV17196