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15-101253 LIVED cnrcF PERMII'APPLI ATI N Federal Way MAR 1 3 2015 CITY OF FEDEIL WAY PERMIT NUMBER 1 57... / D c, pcSj3 _ � C O f -+� oo TARGET DATE SITE ADDRESS SUITE/UNIT It 33915-1st Way South 204 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL $ 1,500 9 2 6 5 0 4 0 1 5 0 TYPE OF PERMIT ❑ BUILDING ❑PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING © FIRE PREVENTION NAME OF PROJECT Dr.Myers-Powell T1 Install new horn strobes in small dental office TI. Relocate smokes as needed. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME ... PRIMARY PHONE PROPERTY OWNER Cuna Mutual Investment Corp. MAILING ADDRESS E-MAIL 33915-1st Kay South CITY STATE ZIP Federal JJ'ay fi'A 98003 NAME PHONE Zeus Fire&Security,LLC 253-445-6561 MAILING ADDRESS E-MAIL 14521-80th Ave E kris@zeusfireandsecurity.com CONTRACTOR CITY STATE ZIP FAX Puyallup ff'A 98375 253-845-4083 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# ZE[SFFS8h1 R4 12 / 21 / 16 NAME PRIMARY PHONE same APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT Kristopher Conner 253-445-6561 (The individual to receive and MAILING ADDRESSE-MAIL respond to all correspondence 14521-80th Ave E kris@zeusfireandsecurity.com concerning this application) CITY STATE ZIP F Puyallup WA 98375 3-845-4083 NAME PROJECT FINANCING ❑ 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 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 suppliedt othe city as a part of this application. SIGNATURE: DATE 3/13/2015 PRINT NAME: Kristopher Conner Bulletin#100—January 1,2013 Page 1 of 3 k:AHandouts\Permit Application