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15-106128 Electrical • City&2 Federal Way Permit 15-106128-00-E L Community&Econ.Dev.Services #: 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835 2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: MYKIIAYLYUK Project Address: 628 SW 362ND PL Parcel Number: 800200 0080 Project Description: Service and wiring for new single family residence. Owner Applicant Contractor NIKOLAY MYKHAYLYUK NIKOLAY MYKHAYLYUK NW ELECTRICAL LLC' 10208 SHERIDAN AVE S 10208 SHERIDAN AVE S NWELEEL886NP(8/26/16) TACOMA WA 98444 TACOMA WA 98444 8507 LUZADER LN SW LAKEWOOD WA 98499 Additional Permit information Electrical Work Valuation? 13000 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional No Electrical Fixtures New Service:Residential 1 Thermostat. 1 PERMIT EXPIRES Sunday, December 4, 2016 Permit Issued on Friday, December 4, 2015 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. Owner or agent 1�5) )k SO C '�(� �7� Date: H ` g I i S° s } Electrical • City of Federal Way Permit #: 15-106128-00-E L Community&Econ.Dev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax (253)835-2609 . F. Inspection Request Line: (253)835-3050 Project Name: MYKIIAYLYUK • Project Address: 628 SW 362ND PL Parcel Number: 800200 0080 Project Description: Service and wiring for new single family residence. Owner Applicant Contractor ALEKSANDR MYCHKO NIKOLAY MYKHAYLYUK OWNER IS CONTRACTOR OKSANA MYCHKO 10208 SHERIDAN AVE S 35817 9TH AVE SW TACOMA WA 98444 FEDERAL WAY,WA 98023 Additional Permit Information Electrical Work Valuation? 13000 Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No Electrical Fixtures New Service:Residential 1 Thermostat 1 PERMIT EXPIRES Wednesday, June 1, 2016 Permit Issued on Friday, December 4, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the ue,,will be in accordance with the laws, rules and regulations of the State of Washington u?",!will and the City of Federal Way. Owner or agent: ",`/� Date: / 2 -9-/s iii Lv C,4I91ihj Vliwi tic tvcb rA ul446, Anol-l+pv ?eVww} e3 Dif cte444- Gow;vAtAw. $ 4-(4w ,• DATE INSPECTOR AREA AND TYPE OF INSPECTOON + ( ItIit. V* P*vh'GI Ro ►„-1% O - LV Cub(iKi 1‘•skne.1 . THIS CARD IS TO REMAIN ON-SITE - CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 15-106128-00-EL Address: 628 SW 362ND PL Project: ALEKSANDR MYCHKO 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. 0 UFER Ground (4295) "0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete 4 By LI %A^ Date I Z..,9,, 1 S `By Date . By Date 0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date Date 0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ® Ceiling Cover(4020) Approved Approved Approved By Date By A45 Date 4120(40 By Date e0 Final-Electrical(4055) Approved By Date(217. 2_1. 0 Rough ElectricalED Final Electrical Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CITY OF DEC A R ELECTRICAL 2015 Federal WayCITY OF FEDERAL WAY PERMIT APPLICATION / CDS /-� PERMIT NUMBER 15 — I b V/ I vu — 6 I . h / SUITE/UNIT/SPACE# SITE ADDRESS: 6zSW 36,2p/ Feo W747. 7E623 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 13, 030 g © 02- 0 0 _ o o C7 PROJECT NAME (Tenant or Homeowner Last Name) mY1 ii (/ 9/u(c /J PROJECT DESCRIPTION 5 U ti C(' 4 (IO r ►tnG) -fi-v r vo S;(1G\I f -fit, m, Jr.� Detailed description of work to N 3 i G.f�Cf - / be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER (U cZC (y) y14 La LA- ( Z66) I/73 MAILING ADDRESS `, �^ E-MAIL (O 2-Q k r1'da vl f?/Q ../ ui'L'Kral. ..5 T IZ D q A.-. rr/ CSC CITY STATE v'� ZIP FAX FAX �C{ ✓ C ' 7 Gr 6114 ) - NAME PRIMARY PHONE otA) fl 2 t2 Coo 4 ,Qokc-to2 ( ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX ( ) WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE APPLICANT 1 vl< Thrktid GY f/t ( z06) 973- 736 j MAILING ADDRESS E-MAIL 10Z-OX i1/( R/ ccs i7/e j CIT-Y� STATE ZIP FAX /ciao E'3'i cL Wig qgf f l' ( ) - NAME PRIMARY PHONE PROJECT CONTACT y K k�Y(y (Al< ( ZOO 973- 73 491 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 arty claim(including costs, expenses,and attorneys'fees incurred in the investigation and de e,se of such claim),which may be made by any person,including the undersigned,and filed against the city, but only where such c '• arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied t e city as a part of this application. SIGNATURE: • DATE Iz -9 -/5-- PRINT /.rPRINT NAMF, ! ( / . £ Q' G 'cite Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application