17-101332 CITY Of PERMIT APPLICATION
Federal Way RECEIVED
PERMIT NUMBER I _ 3 2_ MAR 2 3 2017
— — _ _ TARGET DATE CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
SITE ADDRESS SUITE/UNIT N
, LLL,
3atte Pacific Highway S, Federal WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL* � � - O I I O
3900.00 5 - - -
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING FIRE PREVENTION
NAME OF PROJECT Chick-fil-A#3392
Installing new fire alarm system.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
Froula Alarm Systems, Inc. 206-575-1962
MAILING ADDRESS E-MAIL
CONTRACTOR 861 Industry Drive jdAfroulaalarms.com
CITY STATE ZIP FAX
•
TlikwilB WA 98188 206-575-8168
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k
FROULAS122DS / / 19-98-105635-00-BL
• NAME PRIMARY PHONE
same as above
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT JD Dunlap 206-661-6054
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 861 Industry Drive jd@froulalarms.com
concerning this application) CITY STATE ZIP FAX
Tukwila WA 98188 _ 206-575-8168
PROJECT FINANCING NAME 0 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 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 authorised 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: ! '- f DATE 3/22/2017
PRINT NAME: JD Dull ap
•
Bulletin#100–January 1,2013 Page 1 of 3 k:\Handouts\Permit Application