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roc cMOF A P RM ITIPPLI ATI N
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Federal Way
• RECEIVED
w PERT NUMBER I S 1 0 2 5 g,,_ p MAY 2 9 2015
- p 5/30/15
- - TARGET DATE
SUITE/UNIT OF FEDERAL WAY
SITE ADDRESS
Z 0 I South Commons, Federal Way,WA 98003 CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4500.00 _ - _ !
TYPE OF PERMIT ❑ BUILDING ❑PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ®FIRE PREVENTION
NAME OF PROJECT COMMONS MALL*FEDERAL WAY*
PROJECT DESCRIPTION REPLACE THE EXISTING ADT FOCUS FIRE ALARM SYSTEM WITH LIKE
Detailed description of work to TO LIKE RELACEMEN' 'POTTER SYSTEM.NO CHANGES/ADDITIONS TO
be included on this permit only THE EXISTING DEVICE LOCATONS/CONFIGURATIONS.
PROPERTY OWNER NAME STEADFAST COMMERCIAL '. PRIMARY PHONE
253 2756096
MAILING ADDRESS EMAIL
0 1402 SE EVERGREEM WAY STEADFASTMNGMT.COM
) CITYEVERETT STATE ZIP
W� 98204
NAME FIRE PROTECTION INC PHO 4252909600
MAILING ADDRESS E-MAIL
DAVID FPISEATTLE.COM
CONTRACTOR 1730 GIBSON ROAD @
CIFF EVERETT STATE A ZIP 98204 FAX 425 353 4546
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIREPI*021ML 7 31 16 20-00-102494-00-BL
NAME PRIMARY DAVID MOW W/FIRE PROTECTION INC 42 9600
APPLICANT MAILING ADDRESS E-MAIL
1730 GIBSON ROAD DAVID @FPISEATTLE.COM
CITY EVERETT WA ZIP 98204 FAx 425 353 4546
PROJECT CONTACT NAME DAVID MOW PRIMARY PHONE 425 290 9600
(The individual to receive and MAILING ADDRESS 1730 GIBBON ROAD E-MAIL
respond to all correspondence DAVID @FPISEATTLE.COM
concerning this application) CITY STATE ZIP FAX
EVERETT WA 98204 425 353 4546
NAME
PROJECT FINANCING Is OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCM(19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 ci ich may be made by an person,including the undersigned,and filed against the city,
but only where such claim arts t of a reliance of the tiding its officers and employees, upon the accuracy of the
information supplied to the ci asap f this applica
1 ,<" "V „.
SIGNATURE: DATE 5/18/15
PRINT NAME: DAVID.MOW
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application