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City°,Federal D way Permit #: 15-103581-00-EL
Community&Econev.Services
33325 8th Ave SF ILE
Federal Way,WA 98003 Line:Request Inspection
Ph:(253)835-2607 Fax (253)835-2609 p (253)835-3050
Project Name: SHKARIN
Project Address: 619 SW 362ND PL Parcel Number: 800200 0010
Project Description: 200 AMP NEW SERVICE-4458 SQFT
Owner Applicant Contractor
DMITRIY SHKARIN DMITRIY SHKARIN NW ELECTRIC SERVICES INC
PO BOX 23208 PO BOX 23208 NWELEES925DL(3/27/16)
FEDERAL WAY WA 98093 FEDERAL WAY WA 98093 32419 3RD AVE SW
FEDERAL WAY WA 98023
Additionat Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
New Service:Residential 1
PERMIT EXPIRES Sunday, January 17, 2016
Permit Issued on Tuesday, July 21, 2015
I hereby certify that the above i•formation is correct and that the construction on the above described property and
the occupancy and the - ill be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
• THIS CARD IS TO MAIN ON-SITE ,
CITY OF
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-103581-00-EL Address: 619 SW 362ND PL
Project: DMITRIY SHKARIN FEDERAL WAY, WA 98023
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El UFER Ground(4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By C 14...„4 Date ^ 2_1 S 'By Date .By Date•
El Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date B cc„ Date l 2`%I 1�—
O Feeders/Sub-panels(4045) El Rough Electrical(4225) —. ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date C S Date `1 ga (,<---- By Date
1
❑ Final-Electrical(4055)
Approved
.� �� Date S--_1 a—i G
0 Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1116. ELECTRICAL
CITY OF
Federal Way PERMIT APPIRTk.fg9N
PERMIT NUMBER j . 5-151. , � JUL 2015
CITY OF FEDERAL WAY
SUITE/UNIT ECE#
SITE ADDRESS: 19 > , , 2 k.4 pi
( ` ^ (� SSC .��
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
SOe5t9 'ola </ 0 0 k - 1_ 0_
PROJECT NAME
(Tenant or Homeowner Last Name) (iv \,
PROJECT DESCRIPTION4458 gs
►`� - ww l y ��
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1 .A L Lao (259?g -7 i(
MAILING ADDRESS E-MAIL
41L6I A et.OAMA((.(CAA
CITY STATE ZIP FAX
?-eAe L&Jtxy Go'( 612°1'3 ( ) -
NAME a PRIMARY PHONE
G) fi= aAv,( I LLC (2 5) 2t4- LS G;
MAILING ADDRESSpp E-MAIL
ELECTRICAL j o L,l.."2r of-e i" S U
CONTRACTOR TITY STATE ZIPFAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME 1 r PRIMARY PHONE
Rr
APPLICANT W Fkit..64,,h k Ll� (255 )2oe
MAILING ADDRESS E-MAIL
iSo1 b.( .2 miler L'-v S )
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT ( )
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim • 'ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ci•_ • a part of this application.
it:SIGNATURE:/ t _ DATE 7-2/ /
PRINT NAME: / i.
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application
