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13-102239
RECEIVES 03- / 2_ _23 °' 113 PERMIT SF MF CO ME PL DE E FP Federal Way Y COMMUNITYDEVEIAPMENI (2 EgF FEDE � I,LICATION 253-835-2607•FAX 253-835-2609 CDS AFP ©www. feeralwau.com V SITE ADDRESS V SUITE/UNIT# 1p2$-S`SQf,mons Way Federal 98003 41 ' 0 / $ l -yam PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $43,209.00 7 6 2 2 4 0 _ 0 0 1 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) The ommons Demo Relocate fire sprinkler piping for new CMU and framed walls. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Steadfast Commons LLC MAILING ADDRESS E-MAIL 1928 S Commons Way ZIP Federal Way (WAS 198003 PHONE Fire Sprinklers Incorporated 253-826-0099 MAILING ADDRESS E-MAIL CONTRACTOR 1524-45th Street E-Suite 102 brett@firesprinklersinc.com CITY STATE ZIP FAX Sumner IWA 98390 253-891-7548 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# FIRESI*988RJ 12 X11 X14 20-05.100633-00-BL NAME PHONE Same as Contractor APPLICANT MAILING ADDRESS E-MAIL CITY Il I STATE I ZIP FAX PROJECT CONTACT NAME PHONE (The individual to receive and respond to all correspondence MATING ADDRESS E-MAIL concerning this application) CITY I STATE ZIP FAX ALTERNATE CONTACT NAME PHONE E-MAIL PROJECT FINANCING NAME Q OWNER-FINANCED Required value of$5,000 or more (RCW 19.27.095) MAILING ADDRESS,CITY.STATE.ZIP PHONE 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 cia arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information s mt to t city as a part of this application. SIGNATURE: r V �—4""" "QQ.,7�L,°.�NZJ f7 r-aT DATE May 21, 2013 PRINT NAME: Brett Morriso Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application