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1
em c> BUU.DING DIVISION
33530 First Way South
Federal Way WA 98003
(253) 661-4000
Fax (253) 661-4129
ELECTRICAL PERMIT APPLICATION
* "Federal Way Business License number: ; G I
ELR4q— m (:5S .
Job Address -
Job Site Phone
Parcel No
Lot No
Subdivision Name
Owner/tenant
C.'c�
Mail Address F0. 0K
RSDSSL3
Phone
—�13�1-ZSZ4o
esqtkysm�
.
Electrical Contractor
Address/phone I
EI of oentractor li7 ber (copy rey'd):
mP,21Gb" ca�t
Expiration Date:
Use of Bldg: ❑ SF Res ❑Comm Other o Multi ❑ Church/Scbool
Class of Work New o Alteration o Addition 0 Repair
Describe Work: zio a"�n Sau/ a n q SI} 0I
' "'N
�R-ESItDJENTIAL
W SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
il
Single Fat2;
_ Service or feeder only ........ $41
plan review is req'd. Fee is 35% of
"� 1300Eac tf�add 0 S'-1.,
Service and feeder ........... 67
Square Feet
ermit fee +$52. Add'1 lan review
P P
Eachoutorg ge..... $26
MOBILE HOME/RV PARK
for other submissions is $62/hr.
(inspected with service)
# of service or feeders
_ Each outbuilding or garage ..... $41
J (First service/feeder-S41; Add'n servicel
(Inspected separately) 4' 6
feeder-S26 each)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
_ # of Thermostats (First t-stat-S31; add'n-S10 ea)
Amps Service or Add'n
# of Low voltage fire or burglar alarms
Service Feeder
Feeder
(Residential: fast 2500 fe-S36; Each add'n 500 8 -Sl0)
_ Up to 200 amp .... $ 67 ..... $ 20
0 to 100 .......... $ 67 .... $ 41
(Commercial: 14 zone-$36, Each add'n zone-S10)
_ 201 - 400 amp - ... 83 ...... 41
_ 101 - 200 ........ 83 ..... 52
_ 401-600 amp .... 114 ...... 57
— 201-400 156 62
_ # Of Signs (First sign-$31; Each add'n sign $15)
_ 601 - 800 amp .... 146 ...... 78
........ .....
W 401 - 600 182 73
_Progress inspection per''/z hr •........ $31
_ 801 and over ...... 208 ..... 156
........ .....
J 601 - 800 235 99
_ Swimming pool, hot tub, spa ......... 60
........ .....
801 - 1000 287 120
Temporary Pole 36
p � " " " " " " " " " '
....... ....
Y 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
(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
(First 5 circuits-$52; Add'n circuit-$5 each)
city, county, and/or state laws.
(14 6rtivita441; Add'n circuits $5 each)
Temporary Service
App 'gaat's igaature:
_ 0 to 100 .................. . $41
101-200 .................. 52
_— 201-400 .................. 62
401-600 .................. 83
Date:
over 600 94
Erurx,cArr
urns® 12wa
4
CITY OF
33530 1 ST WAY SOUTH
## �� FEDERAL WAY, WA 9B003
BUILDING DIVISION I
66 1 -4000
CORRECTION NOTICE
/0. /
ADDRESS: 7 z '7 PERMIT #: .4--le 79 —1-r-2
VIOLATIONS OF CITY AND/OR STATE LAWS ARE LISTED BELOW:
YOU ARE HEREBY NOTIFIED THAT NO MORE WORK SHALL BE APPROVED UPON THESE PREMISES UNTIL THE
ABOVE VIOLATIONS ARE CORRECTED. WHEN CORRECTIONS HAVE BEEN MADE, CALL 66 1 -41 40 FOR
RE -INSPECTION.
DATE INSPECTOR FOR BUILDING DEPARTMENT
DO NOT REMOVE THIS NOTICE