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16-102713 CITY OF R E© RA. PERMI'1 lPPLICATION Federal Way JUN 0.3 2016 CITY OF FEDERAL WAY y� PERMIT NUMBER 1 c() _ / D CE ( 3 - June 14, 2016 TARGET DATE SITE ADDRESS SUITE/UNIT# 31525 20th Ave S, Federal Way 98003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# , oo.00 � 9 z I o Lf_ - 9 0 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING I FIRE PREVENTION NAME OF PROJECT Palace Korean Bar & Grill Installation of AES 7788F Radio Communicator w/tap in place of phone lines PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Jae So 425-890-4996 MAILING ADDRESS E-MAIL 31525 20th Ave South JaeSo2020Caamail.com CITY STATE ZIP Federal Way WA 98003 NAME PHONE MR Industries, LLC dba Infinity Fire Protection 877-899-3473 MAILING ADDRESS E-MAIL CONTRACTOR 17701 108th Ave SE,#426 LBrowning@Infinity-fire.com CITY STATE ZIP FAX Renton WA 98055 877-806-3473 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# INFINFP861RT 112/31/1'6 20-10-102173-00 NAME PRIMARY PHONE Lita Browning 877-899-3473,301 APPLICANT MAILING ADDRESS E-MAIL 17701 108th Ave SE,#426 LBrowning@Infinity-fire.com CITY STATE ZIP FAX Renton WA 98055 i 877-806-3473 NAME PRIMARY PHONE PROJECT CONTACT Lita Browning 877-899-3473 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence Same as Applicant concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING 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 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. Lita Browningmom, - ry�� 6-2-16 SIGNATURE: DATE PRINT NAME: Lita Browning Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application