HomeMy WebLinkAbout15-105786 2b.),
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CII.oF Nov 13 2015 PERMIT APPLICATION
Federal Way CITY OF/5
FEDERAL WAY
CDS
PERMIT NUMBER _ -7 �l �l 0/ J Fp TARGET DATE
SITE ADDRESS SUITE/UNIT M
28300 - 18th Ave S. Federal Way, WA 98003 Bldg G & Clubhouse
PROJECT VALUATION ' ZONING ASSESSOR'S TAX/PARCEL if
$ 250 8 9 4 4 4 4 0 0 0 0
TYPE OF PERMIT u B[.�!us n, ❑ Pi.:.titi r; ❑ Mn:cln�"c':a;, E h i-xa)i..n()N, ❑ EN( <NEEFINn a Flu*:PRE_vENTiON
NAME OF PROJECT Village at Redondo Condominium
AES Radio was stolen from the site. There was extensive damage done.
PROJECT DESCRIPTION
Detailed description of work to Replacing the AES Radio Transmitter"Like for Like"
be included on this permit only V
2 61c.
NAME PRIMARY PHONE
PROPERTY OWNER 'N/A
MAILING ADDRESS E-MAIL
28300 18th Ave S.
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE'
Guardian Security Systems
MAILING ADDRESS E-MAIL
CONTRACTOR 1743 First Ave S.
CITY - STATE ZIP FAX
Seattle WA 98134
WA STATE CONTRACTOR'S LICENSE P EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
GUARDSS233K5 09/ 30 / 13
NAME PRIMARY PHONE
Guardian Security Systems 206.349.5889
APPLICANT MAILING ADDRESS E-MAIL
i 1743 First Ave S. kveliz@guardiansecurity.com
CITY STATE ZIP FAX
;Seattle WA 98134 206.628.4990
f NAME PRIMARY PHONE
PROJECT CONTACT •Karina Veliz 206.349.5889
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence ;1743 First Ave South kveliz@guardiansecurity.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98134 206.658.4990
NAME OWNER-FINANCED
PROJECT FINANCING
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
rkrUW I')27 t'')3)
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 supp ie to the city as a pa of this application.
SIGNATURE: DATE
PRINT NAME: Karina Veliz
Bulletin#100-January I.2013 Page 1 of 3 k:A}landout,\Permit Application
