13-101239 Wfl lnlUULW
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CITY ak RECEIVED PERMIT SF MF CO ME PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERV!CEM AR 18 2�P LI CAT I O N
253 835-2607•FAX 253-835-2609 ru
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CITY OF FEDERAL WAY 87r`n 1117 n 0
SITE ADDRESS CDS /UNIT#
34720 Pacific Highway S. , Federal Way, WA 98003 O'Reilly Auto
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
7,900.00 CE- Comm. 2 02 1 0 4 - 9 0 6 5
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 6 FIRE PREVENTION
NAME OF PROJECT O'Reilly Auto Parts Store
(Tenant Name/Homeowner Last Name)
Installing new fire alarm system in new commercial building.
PROJECT DESCRIPTION For O'Reilly Auto Parts Store.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER O'Reilly Automotive Stores 417-862-2674
MAILING ADDRESS E-MAIL
233 South Patterson
cITYSpringfield sMI� ZIP
65802
NAME PHONE
Protection & Communications, Inc. 425-774-9099
MAILING ADDRESS E-MAIL
19630 40th Ave. W.
CONTRACTOR
CITY STATE ZIP FAX
`A' 7 �y 5.54
Lynnwood WA 98036 425-774-6317
SO.' WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PROTECI165L8 05 31 X13 19-99-105961-00-BL
NAME PHONE
Protection & Communications, Inc. PII4N25 -774-9099, Ext. 115
APPLICANT MAILING ADDRESS E-MAIL
19630 40th Ave. W. lylew@pro-comm-online.com
CITY STATE ZIP FAX
Lynnwood WA 98036 425-774-6317
PROJECT CONTACT NAMEPHONE
Lyle Wells 425-774-9099, Ext. 115
(The individual to receive and
respond to all correspondence MAILING ADDR4ESS E-MAIL
concerning this application) 19630 0th Ave. W. lylew@pro comm-online.corn
CITY Lynnwood STATE
ZIP FAX F 425-774-6317
ALTERNATE CONTACT NAME: PHONE E-MAIL
Mark Shepherd 206-510-1782
PROJECT FINANCING NAME
El 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 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: "'ll- DATE 3/18/13
PRINT NAME: Lyle Wells
Bulletin#100-January 1,2011 Page 1 of 3 k:'Handouts\Permit Application