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14-101644City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2609 . i• 0 Project Name: MANCU K FILE. M � x Electrical Permit #:14 -101644 -00 -EL Inspection Request Line: (253) 835-3050 Project Address: 33512 42ND AVE SW Parcel Number: 286730 0170 Project Description: Electrical work for new single family residence. Owner ALEXANDR MANCHIK ARRIecant ALEXANDR MANCHIK Contractor OWNER IS CONTRACTOR GALINA MANCHIK 5031 HIGHLAND DR SE 5031 HIGHLAND DR SE AUBURN WA 98092 AUBURN WA 98092 Additional Peffnit Information Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No Electrical Fixtures New Service: Residential ............... 1 PERMIT EXPIRES Tuesday, October 7, 2014 Permit Issued on Thursday, April 10, 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 �y Q and the City of Federal Way. Owner or agent: l.� e�al" e u Date: q-1© r I ct EO t THIS CARD IS TOMAIN ONSITE OF Construction In ection Record Federal Way INSPECTION REQ TS: (253) 835-3050 PERMIT #: 14 -101644 -00 -EL Project: ALEXANDR MANCHIK Address: 33512 42ND AVE SW FEDERAL WAY, WA 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 (42 5) Ditch cover (4030) 0 Slab/Concrete Floor (4255) Approved Approved By Approved By Approved to place concrete By it Date -'v\- ` By Date By Date ❑ Pool Bonding (4195) 0 Temporary Power (4275) Approved of Way Approved By Approved By Date Date By Date Date ❑ Feeders/Sub-panels (4045) 0 Rough Electrical (4225) Approved Approved By Date By Vas Date 1 2-1 1 13 Final - Electrical S4 55 ,. -n rl Approved By _44q Date Rough Electrical Approved Final ElectricalRight Approved of Way Approved By Date By Date By Date OMED CITY OF APR 10 2014 ELECTRICAL Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION CDS PERffiT NUIi[BEx 2 SITE ADDRESS: Gov e �J�/ 2 i' 2 n � r��C� �✓ SUITE/UNIT/SPACE i PROJECT VALUATION'S TAX/PARCEL /O CURRENT/PROPOSED USE _ O PROJECT NAME Homeowner C (Tenant or Last Name) / lel Cit/vi �? ✓l �L' Y � y1 GQWt /`� PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME f% f6_ PRIMARY PHONE 0M MAILING ADDRESS 5r-)3 ( ��/ E-MAIL CITY STATE ZIP FAX Q,u 6ut'i , I -J q W -S 2 ) _ NAME p(j " o / PRIMARY PHONE 1 ) - MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR Cry STATE ZIP FAX l ) - WA STATE CONTRACTOR'S LICENSE #I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE B NAME PRIMARY PHONE APPLICANT � h � � � ) - MAIIdNG ADDRESS E-MAII. CITY STATE ZIP FAX )PRIMARY PROJECT CONTACT NAME /9%E',� PHONE 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 o- 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 claint) 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 tothecity as apart of this application. SIGNATURE: q— r p DATE PRINT NAME: Bulletin #160 —January 1, 2013 Page 1 of 2 k:fflandoutsTlectrical Permit Application