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16-105940City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835.2609 Electrical Permit #:16 -105940 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: T C C 1 LLC Project Address: 34646 14TH PL SW Project Description: Mast meter inspection to allow PSE to re -connect electricity Parcel Number: 666490 0450 Owner Applicant Contractor SERGEY LOBOZINSKIYT C C 1 LLC SERGEY LOBOZINSKIYT C C 1 LLC OWNER IS CONTRACTOR PO BOX 546 PO BOX 546 MILTON WA 98354 MILTON WA 98354 USA USA Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Alt. Serv./Feeder: 0 to 200 am] 1 Mast or Meter Repair (Resider. 1 PERMIT EXPIRES Friday, 15 December. Permit Issued on Thursday, December 15, I hereby certify that the above information is correct and the occupancy and thpAse will be in accord Owner or agent: r S_ 6zJ o1L -�—� 7- It t'1 /4, �o rules Way. 40 17. cwv THIS CARD IS TO REMAIN ON-SITE °r'"� Construction Inspection Record Federal way INSPECTION REQUESTS: (253) 835-3050 PERMrr #: 16105940 00 Address: 3464614TH PL SW Project: SERGEY LOBOZI MY FEDERAL WAY WA 98023-7038 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. M UFER Ground (4295) Q Ditch cover (4030) 3 Sbb/Concrete Floor (4255) Ceiling Cover (4020) Approved Approved Approved Approved Approved Approved to place concrete Date By Date By Date By Date Date ® Pool Bonding (4195) ® Temporary Power (4275) ® Service (4235) Ceiling Cover (4020) Approved 1By Approved iBy Approved By Date By Date 11 By Date FLI Feeders/Sub-panels (4045) ® Rough Ekctrkal (4225) Final Electrical ® Ceiling Cover (4020) Right of Way Approved Approved Approved Approved Approved By Date By Date By Date Final - Electrkal (4055) Approved By Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date CITY OF Building Division 33325 Eighth Avenue South Federal Wa Federal Way, 98003-6325 4:�A�Ly Phone 253-835-2607 Fox 253-835-2609 CORRECTION NOTICE ADDRESS: �-A(o (o (ATz_ �t- PERMIT#: ((,7 --1 u- q40 —L .—I" - in?be'- 2Gi%— -eli�All7 s�G(L0- sur <:::,I 10 Sc. ► - , /` �� c�.�s l c �n c n� . �-, �� 1 r� ice- -e'<- S CA % k-� Ar -1 i�A co IF YOU HAVE QUESTIONS CAL ��{%� Sz o l� (253) 835- WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. ATE INSPECTOR DO NOT REMOVE THIS NOTICE Page --j of 40 CITY OF Federal Way RECEIVED ELEC'T'RICAL DEC 15 2016 PERMIT APPLICATION CITY ®FRAL WAIL CDS9 PERMIT NUMBER J SITE ADDRESS' 3y� y� z S� _ W SUITE/UNIT/SPACE M PROJECT VALUATION ASSESSOR'S TAX/PARCEL #� O - � S-7& CURRENT/PROPOSED USE 62(i/' 1+ U PROJECT NAME (Tenant or Homeowner Last Name) �� j G dk1L PROJECT DESCRIPTION Detailed description of work to be included on this permit only ., cct t.,7 PAO PROPERTY OWNER NAMEPRIMARY 7 -cc A /_Z_ C -1- PHONE q- e, 17 MAILING ADDRESS PiOlLvx E-MAIL CITY //�N/ 49 y ST��AT)E ZIP FAX ELECTRICAL CONTRACTOR NAME ©� , 1 PRIMARY PHONE MAILING ADDRESS E-MAIL CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # APPLICANT�� NAME PRIMARY PHONE MAILING DR v IK6 E-MAIL CITY /� � STATE ZIP FAX PROJECT CONTACT2= NAME /�., L, a� /J � 0aV k S PRIMARY PHONE ('W6) 2,2 �- 6-0:Z 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 1 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 par�of thi"pplication. SIGNATURE: PRINT NAME: Bulletin #160—April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application