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COMMUNITY DEVELOPMENT —,MAY V 3 2 1AP i P LI V iT I O i253 - 835 -2607• FAX 253- 835 -2609
CITY
OF FFDFRAL WAY
SITE ADDRESS
SUITE /UNIT #
1214 South 332nd Street
Central Kitchen
PROJECT VALUATION
ZONING
SOR'S TAX/PARCEL #
14,185.00
1 7 2 1 0 4_ 9 0 4 9
7
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING IX FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
Federal Way Public Schools Central Kitchen
Install fire alarm system in new Central Kitchen
PROJECT DESCRIPTION
Detailed description of work to
facility. Joint venture between Sim lexGrinnell
and RTB Electric.
be included on this permit only
PRDtARYPHONE
W
PROPERTY OWNER
Federal Federal Way Public Schools
MAILING ADDRESS 30819 14th Ave S.
E-MAIL
CITY Federal Way
sWA 1
98003 -4765
NAME RTB Electric & Power Inc.
PHONE 5- 922 -5234
MAILING ADDRESS
E-MAIL
2909 Pacific Hwy E, Suite 101
CONTRACTOR
CITY
STATE
ZIP
FAX
Fife
WA
98424
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
RTBELEP922PU
10/29 /12
20 -00- 102107 -OOBL
NAME
SimplexGrinnell206-
osN
291 -1400
APPLICANT
MAILING ADDRESS
9520 10th Ave S, Suite 100
E -MAD.
jastebbins @simplexgrinnell.
CITY Seattle
" WA I
ZIP 98108
FAX 206- 291 -1500
PROJECT CONTACT
NAME Janet Stebbins /SimplexGrinnell
PHONE 206-291-1468
(The individual to receive and
MAIIING ADDRESS 9520 10th Ave S, Suite 100
astebbins @simplexgrinnell.
respond to all correspondence
concerning this application)
czzY Seattle
W11ATE
ZIP 98108
7206- 291 -1500
ALTERNATE CONTACT NAME:
PRONE
E -MAD.
Brady Martin
206 - 291 -142
PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of $5.000 or more
MAILING ADDRESS, CITY. STATE. ZIP
PHONE
(RCW 19.27.095)
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 igformation 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 05/01/12
PRINT N Janet Stebbins for SimplexGrinnell
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
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