17-102780 RECEIVED
JUN 09 2017 PERMIT APPLICATION
CITY OF
Federal Way co-v OF FEDERAL.WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER / _ / 0 ,; 7 .O _ TARGET DATE
C--.\-1
SITE ADDRESS 11 SUITE/UNIT
2104 SOUTH 320TH STREET, FEDERAL WAY, 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2200.00 CC-C 0921049271
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING lX FIRE PREVENTION
NAME OF PROJECT NWCC CENTER PLAZA
INSTALL A LOW VOLTAGE FIRE ALARM SYSTEM FOR A CORE &SHELL
PROJECT DESCRIPTION COMMERCIAL BUILDING. TENANT IMPROVEMENTS ARE TO BE DONE
Detailed description of work to
be included on this permit only UNDER A SEPERATE PERMIT
NAME PRIMARY HONEP ON
.. . . .... . ..
PROPERTY OWNER NWCC INVESTMENTS VII, LCC 206 391 2345
MAILING ADDRESS 2756 NE 45TH STREET
CITY SEATTLE STATE ZIP
WA 98105
NAME FIRE PROTECTION INC PHONE
425 290 9600
MAILING ADDRESS E-MAIL
1730 GIBSON ROAD DAVID@FPISEATTLE.COM
CONTRACTOR
CITY EVERETT STATE ZIP FAX
WA 98204 475 353 4546
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
FIREPI*021ML 07/31 /2018 20-00-102494-00-BL
NAME DAVID MOW PRIMARY PHONE
425 290 9600
MAILING ADDRESS E-MAIL
APPLICANT 1730 GIBSON ROAD DAVID@FPISEATTLE.COM
CITY STATE ZIP FAX
EVERETT WA 98204 425 353 4546
NAME DAVID MOW PRIMARY PHONE
PROJECT CONTACT 425 290 9600
(The individual to receive and MAILING ADDRESS 1730 GIBSON ROAD E-MAIL
respond to all correspondence DAVID@FPISEATTLE.COM
concerning this application) CITY EVERETT STATE ZIP FAX
WA 98204 425 353 4546
PROJECT FINANCING NAME ❑ 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 Iocal, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the Ci o ederal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of su azm ich may be made by any person, including the undersigned,and filed against the city,
but only where such claim es out the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to city part of this application.
SIGNATURE:/ dti ' '' DATE 6/2/17
-
PRINT NAME:
AVID SOW
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