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16-102351
Electrical City of con. ev.S Permit 16-102351-00-EL CotnmUnity&Econ.Dev.Services #: 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 F ILEInspection Request Line: (253)835-3050 Project Name: ZYZAK Project Address: 29712 3RD AVE SW Parcel Number: 720532 0080 Project Description: Install (1)20 amp circuit for a new microwave. Owner Applicant Contractor ERVIN E ZYZAK BOBBY SCOTT REPUTABLE ELECTRIC LLC 29712 3RD AVE SW REPUTABLE ELECTRIC LLC REPUTEL939K9(5/29/17) FEDERAL WAY,WA 98023 17103 SE 144TH ST PO BOX 3429 RENTON WA 98059 RENTON WA 98056 • Additional Permit Information Electrical Work Valuation 407.03 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures Circuits-Residential 1 PERMIT EXPIRES Wednesday, May 17, 2017 Permit Issued on Tuesday, May 17, 2016 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 City of Federal Way. Owner or agent: 11 Date: 1- 2 C ( • 11%1AL THIS CARD IS TO REMAIN ON-SITE r CITY OF ' Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 16-102351-00-EL Address: 29712 3RD AVE SW Project: ERVIN E ZYZAK FEDERAL WAY, WA 98023-3509 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. 0 UFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date • 0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date Final-Electrical(4055) ' Approved By (4 Date "7'I$1(i •0 Rough Electrical Final Electrical Right of Way Approved El Approved Approved By Date By Date 1 By Date CITY of p``ceveD ELECTRICAL Federal Way MAY 17 2416 Y PERMIT APPLICATION CITY OFF pSRf 'NA C PERMIT NUMBER ( ( O 7-- 3 5 3UITE/UNIT/SPACE# SITE ADDRESS: a 2 e-D J (A 0.c4 PROJECT VALUATION 7 (' � ASSESSOR'S TAX/PARCEL# � - � ` CURRENT/PROPOSED USE Q 3 0 0 PROJECT NAME (Tenant or Homeowner Last Name) 'Z o.\& PROJECT DESCRIPTION N e Lz ?-0 7 12_c_•.) tT -I c Ro l.J i4-v'iE. Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER 1-k 'N".0%`� �- 2 A (),0G).3\‘, - oZ (, MAILING ADDRESS E-MAIL 2 Z "51242 iN SLv CITY STATE ZIP FAX F 1:I)f t2 A L LJ,Ft'( \Nf 4 to-2_3 ( ) - NAME PRIMARY PHONE jZEpL)'r" f3l F L_i G I2 -- LLl_ (253 ) 2)-7 - 0Li5� MAILING ADDRESS E-MAIL ELECTRICAL 1 3 i eert-r2A t, h-v s§, S . ; Sv.1r7-- F 6 r ,fray e rrc-4r.c r :cx-1 rGsI.Kt I CONTRACTOR CITY STATE ZIP FAX ILSPvr— q(b ©52_. (253051 - 4a ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# R- PU F_ L Q 3 el k `3 5 / 2.41 / 162_309-06-3e__ NAME PRIMARY PHONE 7 L cT�2/L t s?�oi3 t, Secr (ifl5 ) y)?--' 1707 APPLICANT MAILING ADDRESS E-MAIL Le - fv r, t J 1 i L S . r SL 1 7rz 6 e,ia6 Ice f ecfs-►G Gt40 e..ay;v.e'f CITY STATE ZIP FAX Q_Yk4- 4'1 4 (60SZ (253) YeSI - yS27 NAME PRIMARY PHONE PROJECT CONTACT TANov.Aas -,4+7>AL (2 0(o) 3 jG 0 (o Z (o 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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information suppliedtothe city as a part of this application. [20 SIGNATURE: I f -' " v DATE b S I ( / PRINT NAME: t>U�5 S L- Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application