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14-100189 • ' Erect •• y of Federal Wa Community&Econ DevServices Permit #: 14-100189-00-EL 33325 8th Ave S Federal way,WA 98003 '� e" 4 Inspection Request Line: Ph:(253)835-2607 Fax (253)835-2609 r (" ' p Q (253)835-3050 Li Li l.. ]rr..`'' Project Name: KURKOV DUPLEX-UNIT B Project Address: 28804 28TH PL S Parcel Number: 029450 0200 Project Description: Install new wiring to existing home Owner Applicant Contractor PAVEL KURKOV N W ELECTRICAL LLC N W ELECTRICAL LLC 28804 28TH PL S 8507 LUZADER LN SW NWELEEL886NP(8/22/14) FEDERAL WAY WA 98003 LAKEWOOD WA 98499 8507 LUZADER LN SW LAKEWOOD WA 98499 • 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 New Service:Residential 4 PERMIT EXPIRES Sunday, July 13, 2014 Permit Issued on Tuesday, January 14, 2014 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 /(7 and the Ci► of Federal Way. Owner or agent Date: i`i y © /7 L Lk0x THIS•CARD IS TO MAIN ON-SITE 4 CITY OF� '` 0 Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 14-100189-00-EL Address: 28804 28TH PL S Project: PAVEL KURKOV FEDERAL WAY, WA 98003-7901 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. O UFER Ground (4295) El Ditch cover(4030) Ei Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date o Pool Bonding(4195) 0 Temporary Power(4275) Service(4235) Approved Approved Approved By Date By Date By Date ` 1 1,1-' / ti o Feeders/Sub-panels(4045) 0 Rough Electrical(4225) *0Ceiling Cover(4020) Approved Approved Approved By Date By 0_4%,..,,,.0.� Date 1 ` 1...-t_t 'By Date o Final-Electrical(4055) ` Approved By Qj Date js *--t r ,ti 0 Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date • •• k . 11116.. ELECTRICAL CITY OF Federal Way PERMIT APPLIfikkiliON PERMIT NUMBER 1 I 04 0 JAN 14 2014 CITY OF F((EDERA L WAY / SUITE/UNIT/SP14`���5 SITE ADDRESS: z g E C�L I 2 244 S; S PROJECT VALIIATION ASSESSOR'S TAX/PARCEL/ - � � O � CURRENT/PROPOSED USE 00 PROJECT NAME �j ,V) 1�fO ` 1O (Tenant or Homeowner Last Name) F- V�[ vIT- J3 cvtA,AP!t t,L•lre tf/©0 Sc,-, f. i.10r -1. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER PCk LA. CAi Iov (�5 ) 732 -23?2- MAILING ADDRESS E-MAIL CITY STATE ZIP FAX t ) NAME PRIMARY PHONE /U V�1 E -- - \ 1I6_ (25A2.0g 63 MAILING ADDRESS LEA ELECTRICAL $S D 7 LLA 2a c(2 C' I Vl 51/t) CONTRACTOR CITY STATE ZIP Lakewood WA 92./-499 FAX t ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# MA) EEL ? eAJP 8 / 22 / ry NAME nn PRIMARY PHONE APPLICANT �evivta a1`/ /`D0-laklevi ( ) - MAILING ADDRESS E-MAIL sA CITY STATE ZIP FAX NAME i ) PROJECT CONTACT Pam z 5 3 PRIMARY PHONE ( [1-cA r �c-ou ( 732 2.322_ 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: ( ' / DATE V( 6 PRINT NAME: eY/N oat l Ro vtila tl a j4 k 0 Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application