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CDO193 (Rev 4/97)
RECEIVED BUILDING DWIs1ON
crrroF �� 33530 First Way South
Federal Way WA 98003
(253) 661-4000
vo AY
3,4t- Wad" Fax(253) 661-4129
L3Lm_DIW', t)EPT.
ELECTRICAL PERMIT APPLICATION ELE9q- 1'*30
* * *Federal Way Business License number:
3 '1 "� Job Site Phone
Job Address % j Ave GJ-
Parcel No
Owner/tenant
ITY b�
Lot No Subdivision Name f
Mail Address
3�c�n • l � CJ�!S ��oo�
li514 Z I Address/phone
Use or Bldg: 0 SF Res O Comm D Other ❑ Multi 0 Church/School
�u t00
Describe Work:
if service is greater than 200 amp, a
plan review is req'd. Fee is 35% of
perinit fee +$52. Add'] plan review
for other submissions is $621hr.
MISC EQUIPMENT/TEMP SERVICES
# of Thermostats (First [-stat-$31; add'n-$10 ea)
# of Low voltage fire or burglar alarms
(Residential: fust 2500 ft'-$36; Each add'n 500 W-$10)
(Commercial: 1-4 zone-$36, Each add'n zone-$10)
# of Signs (First sign-$31; Each add'n sign $15)
Progress inspection per hr ........ $31
-- Swimming pool, hot: tub, spa ......... 60
R_ Temporary Pole ................... 36
Yard Pole meter loops .............. 41
Inspections requested before 3:30pm will be
made the following work day, 253.661.4140.
1 hereby certify'hw.1 am the owner (or
authorized agent) of the above named property,
or a licensed contractor (or firin's autlorized
agent) and am making the installation or
alteration in compliance with all applicable
city, county, and/or state laws.
Applical$'s Signature:
Phone
EtcOtr.6 con trantar li c number (copy req d):
:C_ I!J - - I_3%
Expiration Date:
Class of Work: V X New ❑ Alteration
SEnfJCC[ �-r�dZ
All
NEW RESIDENTIAL SERVICES
_ Single Family
(First 1300 W-$62; Each add'n 500 W -$20)
Square Feet:
_ Each outbuilding or garage ..... $26
(inspected with service)
_ Each outbuilding or garage $41
(Inspected separately)
NEW MULTI -FAMILY
(Includes three units or more)
Service
feeder
Up to 200 amp ....
$ 67 • ....
$ 20
201 - 400 amp ....
83 ......
41
401 - 600 amp ....
114 ......
57
601 - 800 amp ....
146 ......
78
— 801 and over ......
208 .....
156
ALTERED SINGLE/MULTI FAMILY
(When inspected separately from the services.)
Service or Feeder
0 to 200 amp ................ $ 57
201 - 600 amp 83
~_ over 600 125
_ Mast or meter repair ........... 31
_ # of circuits ..................
(1-4 circuits-$41; Add'n circuits $5 each)
❑ Addition ❑ Repair
MOBILE HOMES $41
_ Service or feeder only ........
Service and feeder ........... 67
MOBILE HOME/RV PARK
_ # of service or feeders
(First service/feeder-$41; Add'n service/
feeder-$26 each)
COMMERCIAL/INDUSTRIAL
Amps
Service r Add'n
0to100.,.....
$67' ..
$41
52
101-200 ........
83 .....
_
201-400 ........
156 .....
62
-- 401 - 600 ........
192 .....
73
601-800 ........
235 .....
99
_
801-1000
....... 287 ....
120
_
over1000 ........
313 ....
167
_
Over 600 volts surcharge ......
52
_
Mast or meter repair ..... ,
. • • • 57
COMMERCIAL/INDUSTRIAL
Altered Service or Feeders
_ 0 to 200 ................... $ 07
_ 201 -600 ................ � ' 156
_ 601 - 1000 1�. 235
—over 1000 261
_ # of circuits
(First 5 circuits-$52; Add'n circuit-$5 each)
Temporary Service
0to 100...................
$41
101 -200
. 52
— 201-400 ..................
62
40Li-600 ..................
over' 600 ...... .
94
Eu,c-mC APP
Rmsw 12/8/98