12-100775 • • Electrical
Commuity of Fedel iLE
nity&Econ.raDev.Services Permit #: 12-100775-00-EL
33325 8th Ave S
Federal way,WA 98003
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p
Project Name: ZWOSTA
Project Address: 4211 SW 328TH ST Parcel Number: 873203 0170
Project Description: Replace 200-amp panel.
Owner Applicant Contractor
AARON&KAISA ZWOSTA AARON&KAISA ZWOSTA AARON&KAISA ZWOSTA
4211 SW 328TH ST 4211 SW 328TH ST 4211 SW 328TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Wednesday, August 15, 2012
Permit Issued on Friday, February 17, 2012
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 age nt�'` Date: /7 •' I {�/a
THIS CARD IS TO MAIN ON-SITE +
CITY of �
Federal Way • Construction I ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-100775-00-EL Address: 4211 SW 328TH ST
Project: AARON & KAISA ZWOSTA FEDERAL WAY, WA 98023-2629
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.
El LIFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Qom, Date..3�,'-C,
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
ByC L Date 3,zo-12
0 Rough Electrical ElFinal Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• 4111 .
CITY OF41:11 • ! / o 0 / / 5
Fe r D ELECTRICAL C RICAL ---- ,
6a PERMIT APPLICATION
i p, W
t electrical permits may be obtained on-line at www.cityo ederalway.com**
SITE ADDRESS:
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SUITE/UNIT/SPACE 4 ASSESSOR'S TAX/PARCEL It CURENT/PROPOSED USE
g - -1 3 80 _ 0 ( -7 D
PROJECT NAME
(Tenant or Homeowner Last Name) (----4. _ C :c-T7-1
-- 'r /A r, )1 "( \ iT C ) ��t" i:)(1-(
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER A ,--\,,4, :) L`C `> 4 (...:-..-,-,--_,1 l- : 7 - >, Z -
MAILINGILADDRESS C f E-MAIL
2
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE t
/ /
NAME /� PRIMARY PHONE
APPLICANT '5A,i,* 11 �� r2 ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( )
/ ?-eA
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: —� 1 DATE ) j f e&I r
PRINT NAME: F�`,-1KC)N 7".c- ( i I{
33325 8th Avenue South•Federal Way♦WA•98003-6325•253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160–January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application