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11-100068 A Electrical City of Federal Way Ill • Community Development Services Permit #: 11-100068-00-EL P.O.Box 9718 Federal Way,WA 98063-9718 I L rims Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 .7 411111 411411 C1' Project Name: QWEST DSL SITE :11 c) cl Project Address: 35535 6TH AVE SW Parcel Number: 302104 9042 Project Description: 100A Service Owner Applicant Contractor \ BIRTH TO THREE DEVELOPMEN KEN BOBKO ELECTRIC CO INC KEN BOBKO ELECTRIC CO INC FEDERAL WAY WA PO BOX 7009 KENBOEC066BA(1/1/12) 98093-1269 TACOMA WA 98406-0009 PO BOX 7009 TACOMA WA 98406-0009 y Is Use Educational or Institutional? No Service greater than 999 Amps? No Alt.Srvc/Feeder 0 to 200 amps(C I PERMIT EXPIRES Saturday, January 7, 2012 , Permit Issued on Friday,January 7, 2011 _ 1 herebyroertify that the above information is co and that the construction-on the abovedescribbdproperty and ;.° the occupancy and the use will be in rdanc th s,rul.{: and regulations of then tat- •f Wa-thington . d e City ede'=J" ay. Owner or agent: C/" •�/ Date: 4fZ571/ THIS CARD IS TO REMAIN ON-SITE �' CITY OF Construction Rection Record Federal Way INSPECTION RE UESTS: 835-3050 Q (253) PERMIT#: 11-100068-00-EL Address: 35535 6TH AVE SW Project: FEDERAL WAY, WA 98023-8110 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 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date B36 Date f -I O"',j By Date .a Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date ' . ❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ' El Final-Electrical(4055) Approved 'By ` ��� Date 9 -2 5-I I 0 Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date A �' b c 8 CITY OF — — FederalWay ELECTRICAL RECEIVED PERMIT APPLICATION JAN 0 7 'all **Most electrical permits may be obtained on-line at www.city a r�yRi 'VRAJ WAY PROPERTY INFORMATIONS C© SITE ADDRESS: 3 5 5 3 5 $ 354 57i-- // 37 SUITE/UNIT/SPACE# #L ASSESSOR'S TAX/PARC CURRENT/PROPOSED USE 3 Z) � O q _ �' 0 t/ . _ . PROJECT INFORMATION PROJECT NAME (Tenant or Homeowner Last Name) ' --\-- Y'Y Oscar \.`3•��CtA-Tk on 5 bSL J("\-- c_ PROJECT DESCRIPTION /On n rn,(a ) 0/..24/c) Or1bce ti_ S Q r v 1 C e. D S L Detailed description of work to `-' r' be included on this permit only S i ,e_ PEOPLE NAME PRIMARY PHONE PROPERTY OWNER Qtn,e-c—fr (1.0m m(lto(CAT/LI 061 (.15 vp -509 LING ADDRESS E-MAIL 't3 R < / stn-'Wel t CITYSTATE ZIP FAX 0011 US OP 43. 1P-,25-/S" ( ) - IN ems Mk 4 PRIMARY PHONE K ,Iyed`ri CIA C�n r-Z ( S3 )759 - oe 5 LING ADDRESS E-MAIL ELECTRICAL , R O X .7c-x-)9 CONTRACTOR CITY STATE ZIP FAX c-c)►A to (4 A 9M0-aocD9 ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# P1o4/oc)0 e( / / NAME PRIMARY PHONE APPLICANT ( )MAIL DRESS,, E-MAIL VVNte_ CITY STATE ZIP ( FAX 1 ) - NAME PRIMARY PHONE PROJECT CONTACT ( ) 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),w ch may be made by any person,including the undersigned, and filed against the city, but only where such arises out of the/-fiance of the city, including its officers and employees, upon the accuracy of the information suppli • to city a .. of is applic• •on. iiiiiiiitli SIGNATURE: � a //k,_ DATE R1 PRINT NAME: " 12 [1. .'44�,(I_E 1 1 33325 8'h Avenue South•PO Box 9718•Federal Way•WA•98063-9718•253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application