23-103081City of Federal Way Permit #:23-103081-00-EL
Community Development Dept.
33325 Sth Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) B35-2609
Project Name: T-MOBILE SE04732A
Project Address: **CITYWIDE** Parcel Number: 000000 0000
Project Description: Power cell site cabinet from panel installed by others in the ROW on the Nt corner of 21st
Avenue S & SW 325th Place.
Owner
Applicant
Contractor
CITY OF FEDERAL WAY
VEENA PARASURAMANATELZ123 CORP
ATELZ123 CORP
33325 8TH AVE S
21501 106TH PL SE
ATELZC*772CZ (1/30/25)
FEDERAL WAY WA 98003
KENT WA 98032
21501 106TH PL SE
KENT WA 98032 J
Additional Permit Information
Is this an Online or O.T.C. application? ............
Yes
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way,
#wner or agent: F Date:
(11-r wot)
CITV OF MMEXN� THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
6aderalvft INSPECTION REQuE§TS. P$3) 835-3050
PERMIT #: 2310308100 Address: ** CITY WIDE
Project: CITY OF FEDERAL WAY FEDERAL WAY
MUM
(4255) II
te
UFER Ground (4295) LEI Ditch cover ( II 4030) Slab/Concrete Floor 4255)
le
Approved Approved Approved to place concrete t
By Date By Date I By Date
Pool Bonding (4195)
Approved
By Date
E] Feeders/Sub-panels (4045)
Approved
By Date By
...........
El Fin , al - Electrical (4055)
pprowd
B y Date
EDTemporary Power (4275)
Approved
By Date
Rough Electrical (4225)
Approved
Date
Service (4235)
Approved
By
Date
El
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
:_J
Approved
113y
Approved
By
Date
4 By
Date
I
Date
PERMIT NUMBER 3
-Z
SUITE/UNIT/SPACE #
SITE ADDRESS: NE Corner of 21
st Ave SW & SW 325th P1 (nearest assigned address 32535 21 Ave SW)
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ 3,000-00
July 2023
PROJECT NAME
SEU04732A TMobile
(Tenant or Homeowner Last Name)
Power cell site cabinet from panel installed by others,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
City Of Federal Way
MAILING ADDRESS
E-MAIL
............
CITY —7 STATE �Zip
FAX
NAME
PRIMARY PHONE
Atelzl 23 Corp.
(615 1967 - 8077
MAILING ADDRESS
E-MAIL
21501 106th P1 SE
veena.p@atelz123.com
ELECTRICAL
CONTRACTOR
CITY STATE ZIP
FAX
Kent
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
VeenaParasuraman
(615) 967 - 8077
APPLICANT
MAILING ADDRESS
E-MAIL
21501 106th P1 SE
veena.p@ate1z1 23.com
CITY STATE f ZIP
FAX
21501 106th P1 SE A 98032
PRIMARY PHONE
PROJECT CONTACT
Veena Parasuraman
(615) 967 - 8077
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.
Ifurther 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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE 6/9/2023
Veena
PRINT NAME, Veena Parasurarnan
PERMIT CENTER + 33325 Sth Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + pe=itcenter@cityoffederalway.com
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