17-100490 CITY OF t
PERMIT APPLICATION
FederalIQ (F R 1 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Way 253-835-2607+FAX 253-835-2609+permitcentenacityoffederalwav.con
I;,TY OF FEDERAL WAY
CDS
PERMIT NUMBER /1 _ r o o 6 O - F TARGET DATE
SITE ADDRESS L1L SUITE/UNIT S
32125 32nd Ave. S. 103 103
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ -a 2154650050 _
24.12.�o - - -
TYPE OF PERMIT0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION C:1ENGINEERING 14 FIRE PREVENTION
NAME OF PROJECT IW�gcc ealth Advisor
Brimstone Fire is adding smokes and horn/strobes to an existing sytem.
PROJECT DESCRIPTION
Detailed description of work to Due to a Ti spave remodel.
be included on this permit only
NAME PRIMARY PHONE
I-5 TECH INVESTORS LLC
PROPERTY OWNER MAILING ADDRESS E-MAIL
32125 32ND AVE S
CITY STATE ZIP
NAMEPHONE 425-956-3434
Brimstone Fire
MAILING ADDRESS E-MAIL
CONTRACTOR 234422 57th Ave SE Ian@brimstonefiresafety.com
CITY WEE X98072 FAX
Woodinville
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
BRIMSFS918K0 5/ 20 /2017 20-11-101263-00-BL
NAME PRIMARY PHONE
Brimstone Fire 425-956-3434
APPLICANT MAILING ADDRESS E-MAIL
234422 57th Ave SE an@brimstonefiresafety.com
CITY STATE ZIP FAX
Woodinville WA 98072
NAME PRIMARY PHONE
PROJECT CONTACT IAN ANDFRSON 425-956-3434
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 234422 57th Ave SE Ian@brimstonefiresafety.com
concerning this application) CITY Woodinville WA ZIP 98072 FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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
alt 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 feted 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 -, of thie plication.
/1 p)
SIGNATURE: ,f'`� DATE 211/ /
/ 7
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