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16-104230 w , Electrical City ofEFederal D Way Permit #: 16-104230-00-EL Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253) Ph:(253)835-2607 Fax:(253)835-2609 p Q 835-3050 Project Name: BILSKI Project Address: 1456 S 302ND ST Parcel Number: 025300 0015 Project Description: Adding(12)exterior recessed can lights to existing circuits ` Owner Applicant Contractor JOSEPH J BILSKI DELTA WYE ELECTRICAL LLC DELTA WYE ELECTRICAL LLC MARY L BILSKI PO BOX 1176 DELTAWE872LC(6/3/17) 1456 S 302ND ST SPANAWAY WA 98387 PO BOX 1176 FEDERAL WAY WA 98003 SPANAWAY WA 98387 Additional Permit Information Is this an Online or O.T.C.application Yes Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Residential 2 PERMIT EXPIRES Saturday, August 26, 2017 Permit Issued on Friday, August 26, 2016 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and t - - will be in ace. .- ce with the laws, rules and regulations of the State of Washington `- nd t'; of ederal Way. ��J1 / Owner or agent i /, ;ti ;, / 11:.e� -� Date: © °'Z --J C I.'V - Y OF THIS CARD IS TO REMAIN ON-SITE �.. 401 . Federal WayConstruction Inspection Record INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-104230-00-EL Address: 1456 S 302ND ST Project: JOSEPH J BILSKI FEDERAL WAY, WA 98003-4135 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 LIFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) ` 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Itifb Date $'l'J,4i 1 I a By Date ' EI Final-Electrical(4055) Approved By ,^) Date H(yl I 1 1,,, 0 Rough ElectricalEl Final Electrical Right of Way • Approved Approved Approved By Date By Date By Date Ahh. RECEIVED ELECTRICAL CITY OF Federal Way AUG 42016 ' PERMIT APPLICATION CITY OF FEDERAL WAYCDS / _ �i L/V PERMIT NUMBER SUITE/UNIT/SPACE# SITE ADDRESS: /z/56. eQ i PROJECT VALUATION ASSESSOR'S TAX PA CEL# CURRENT/PROPOSED USE PROJECT NAME _ ' t (Tenant or Homeowner Last Name) v 13P11.1.,SI _ 1 PROJECT DESCRIPTION / 2)D Detailed description of work to Z,1611/ i' t x i G , be included on this permit only - l NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ) NAME PRIMARY PHONE 2GZ-Z4 .t/(c_ 377 go//' MAI�� �� �� E-MAIL ELECTRICAL CONTRACTOR CITY STATE Z FAX 1d/4. 8'"? WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# G�Cgzz z_ lZ // '/7 NAME PRIMARY PHONE APPLICANT ) MAILING ADDRESS E-MAIL 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 cl ' arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied the 4ity as a part of this ap-lice/ . SIGNATURE: DATE 241 r^�� PRINT NAME: .p��.v Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application