19-101893 a
Electrical
City of Federal Way Permit #:19-101893-00-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: AJMAL
Project Address: 2520 S 317TH ST Parcel Number: 154180 0450
Project Description: Electrical to include 125A panel replacement.
•
Owner Applicant Contractor
MUHAMMAD AJMAL NIKOLAY GORBUNSUPREME ELECTRIC SUPREME ELECTRIC
2520 S 317TH ST UNIT 203 LLC SUPREEL946O6(9/26/20)
FEDERAL WAY WA 98003-5030 PO BOX 786
MILTON WA 98354 PO BOX 786
MILTON WA 98354
Additional Permit Information
Is this an Online or O.T.C.application') Yes
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Alt.Serv./Feeder:0 to 200 atm 1
PERMIT EXPIRES Tuesday,21 April,2020
Permit Issued on Monday,April 22,2019
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
,ashington and the City of Federal Way.
Owner or agent: ' Date: V2-2-hq
r; )
1
Y. - C
THIS CARD IS TO REMAIN ON-SITE
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tiord
FL@Iai Way CO INSPECTION nstruction REQUESTInspeS:(253)O R 350
PERMIT#: 19 101893 00 Address: 2520 S 317111 ST Unit 203
Project: SOBIA Z AJMAL FEDERAL WAY WA 98003-5016
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.
D UFER Ground(4295) r=1 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
a❑ Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
.By Date By Date By Date
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
® Final-Electrical(4055)
pproved
By .elle Date 47.-6 --/7
0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
....„ _..41k RECEIVED ELECTRICAL
CITY OF
Federal Way APR 2 ? 2019 PERMIT APPLICATION
CITY OF FEDI WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER / ( - r 0 r 3 _
C.,
SITE ADDRESS: SUITE/UNIT/SPACE#
2 SZ� S 31 ` S fi 2-v 3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ r ? , S 4 1 U - O G/
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION C yip /2-c a4a� ret44./.1 h, rt2tA) 614-Q.
Detailed description of work to
be included on this permit only
NAME q/� u / PRIMARY PHONE
PROPERTY OWNER I'WT A -4fl of a d If) mQ I (u-3) 7 -it
MAILING ADDRESS E-MAIL
2CZ0 S 3 al Li SI zAD3
CITY
STAT ZIP FAX
- a lY q9>005 ( ) _
NAME PRIMARY PHONE
6(.4.pz .Ea.C- c c ( Z. 3) 33z- 95399
MAILING ADDRESS E-MAIL
ELECTRICAL Po. 6 ox 7'l;
CONTRACTOR CITY il 14 _w STATEFAX
g S ( ) FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
(.1P k PEL4 Lie 04 9 /24 '20
NAME /' PRIMARY PHONE
APPLICANT
la C-4 l S4 -70.02 ,G
. -a tt4f-i J ( Z3) 3322- Z9V'
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
/ 3' ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT / hGik
(rt-97) 332- %399/
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 /u/l
LZii 9
AP—
PRINT NAME: /r'
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application