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" ��gc000a-----�i e�iu Oj I if GSA A Vi r � --i za [n 7c [ c-r n J �c .••f r �j � � l LF I -. v -r II i S G A y, 3, +•i i ,• Ate'! � � � • i I� SI n it m I x It u ..r [i ^" 3 ll If T i Co C, c c as i i `: k z t7 © C C = � G � : ..� 4iIt cm 44 41 it � � • i i o © a a O r � n it ••� _, rn lk it s vr3voom ++ L ry ti N it C00193 (Rev U97) ELECTRICALI FERiI IT APPL1 CATION ***Federal Way Businessilcense number: BUILDING DmmON 33530 First Way South Federal Way WA 98003 (253)661-4000 Fax (253) 661-4129 ELE I Uu 47 Job Address Job Site Phone Ja d Parcel No Lot No Subdivision Name Owner/ten r � o Mail Address R(O l`1 6l v 3�3 �� Phone Electrical Contractor Addremiphane i v da i i E► c(* I.�� , F;lec! canuactor licenso number (ca y raq'2): ".mow"I n L_ Expiration Date: l ,-e -��' �U% 1 1 v a -a 0 Use of Bldg: ❑ SF Res ❑ Comm ❑ Other ❑ Multi ❑ Church/School Class of Work: ❑ New ❑ Alteration ❑ Addition ❑ Repair Describe Work: Z�� U � P/ NEW RESIDENTIAL SERVICES MOBILE HOMES If service is greater than 200 amp, a _ Single Family _ Service or feeder only ........ $41 plan review is re ' d. Fee is 3 5 % of p q (First 1300 ft -$62; Each add'n 500 IV -$20) 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-stat-$31; add'n-$10 ea) Amps Service or Add'n _ # of Low voltage fire or burglar alarms Service Feeder Feeder _ (Residential: first 2500 ft -$36; Each add'n 500 W410) _ Up to 200 amp .... $ 67 ..... $ 20 0 to 100 .......... $ 67 .... $ J 1 (Commercial: 1-4 zone-$36, Each add'n zone-$10) _ 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 _ 401 - 600 ........ 182 ..... 73 _ Progress inspection per % hr ........ $31 _ 801 and over ...... 208 ..... 156 _ 601 - 800 ........ 235 ..... 99 _ Swimming pool, hot tub, spa ......... 60 _ 801 - 1000 ....... no, .... 120 _ Temporary Pole ................... 36 _ 1000 ........ 313 .... 167 _ Yard Pole meter loops .............. 41 —over 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 r # of circuits alteration incompliance with all applicable # of circuits .................. 40 (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 Alp icant's Signature: _ 0 to 100 ................... $41 101-200 .................. 52 76'rGi'�GC� _ 201 - 400 .................. 62 _ 401-600 .................. 83 Date: over 600 94 ELecmc.APP Rrnsm 1218/98