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17-103745
a w Electrical City of Federal Way Permit #:17-103745-00-EL Community Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: SOKOLIK Project Address: 811 S 301ST PL Parcel Number:515220 0080 Project Description: Add dedicated circuit for new mini-split system. Owner Applicant Contractor LESLIE SOKOLIK FENTON ELECTRIC LLC FENTON ELECTRIC LLC 811 S 301ST PL 414 ELDREDGE AVE NW FENTOEL882DR(3/19/18) FEDERAL WAY WA 98003 ORTING WA 98360 414 ELDREDGE AVE NW USA ORTING WA 98360 Additional Permit Information Is this an Online or O.T.C.application? Yes : ,4 .. t », d v Circuits-Residential 1 PERMIT EXPIRES Saturday,4 August,2018 Permit Issued on Friday,August 4,2017 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 Was ' gto c and the City of Federal Way. Owner or agent: 40. Date: '"t ( N3 THIS CARD IS TO REMAIN ON-SITE a CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 103745 00 Address: 811 S 301ST PL Project: LESLIE A SOKOLIK FEDERAL WAY WA 98003-3752 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. UFER Ground(4295) Ditch cover(4030) ® El ® Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • El Pool Bonding(4195) • El Temporary Power(4275) ® Service(4235) Approved Approved Approved .By Date ••By Date • ��By Date E Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date . ID Final-Electrical(4055) Approved By Q rte.PlaIW`,`, Date 4 ._) t.. i 7 • 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date OF ,,,Hy ELECTRICAL FederalyWay RECEIVED PERMIT APPLICATION AUG 042017 WAYP l /0 3 - C� I E / COMMUNITY DEVELOpM� !! (( l� pi SUITE/UNIT/SPACE# SITE ADDRESS: C^ , 2 01 s -- PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 1it d 0 fC10 S ( Z Z O _ 0 0 g" O PROJECT NAME (Tenant or Homeowner Last Name) I v 1 (-- Aty 1z C`� u o L -E- 1 o .0(+4,. r +e-oc.—4—?A PROJECT DESCRIPTION zj�L i + Ca Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER j.t_ /Lif), (2-59--V-10" 5I MAILING ADDRESS E-MAIL CITY STATE ZIP FAX VCA- U-1A-- �( �g©Q ( ) NAME PRIMARY PRIMARY PHONE MAILING ADDRESS E-MAIL ELECTRICAL ( ' v-.4k C '/1-F�y�¢(Cc� i cit CONTRACTOR CITY STATE ZIP FAX 0 IC ,�'-1�^ �xyS� , f • 1 U3&C ( ) WA STATE CONTRAC'COR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# -F-f- T /( (g /y-i 03 7r1 NAME PRIMARY PHONE APPLICANT P V� Afev,'I'7U" g5.5)izv- R 3;9 MAILINGG ADDRESS ,,.�f/J a �(/� /LJ1,. �! A�, 1 E-MAIL 1 1 l V X61 v+C(� V V �'C/ 17�.'W CITY STATE ZIP FAX I-;v (J- '-j&0 ( ) - N E / PRIMARY PHONE PROJECT CONTACT Plv� o v\ (c 7- - c 'tc"39 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 supplied to the city as a part of this application. SIGNATURE: . V ++ � 1 DATE L (.7 PRINT NAME: ''-�1Zv- 1—e1Ak©V\ Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application