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11-103263 _ (J32Ca CITY of Aj? ECEIVEERMIT Federal SF MF CO ME PL DE E FP COMMUNITY DEVELOPMENT SERVICESA U(; 4), APP! !CAT I O N 253-835-2607•FAX 253-835-2609 v u www.ciftioffederalwap.com CITY OF FEDERAL WAY SITE ADDRESS CDS SUITE/UNIT# 33330 8TH AVE SOUTH PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 117,315.00 9 2 6 5 0 0 - 0 1 2 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING [X FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) EDUCATIONAL SERVICES CENTER FIRE SPRINKLER SYSTEM TENENT IMPROVEMENT PROJECT DESCRIPTION EXTEND FIRE SPRINKLER PROTECTION THROUGHOUT EXISTING Detailed description of work to be included on this permit only BUILDING. NEW BRANCHLINE PIPING TO BE SUPPLIED BY EXISTING MAIN PIPING ALREADY INSTALLED. NAME PRIMARY PHONE PROPERTY OWNER FEDERAL WAY SCHOOL DISTRICT 3 41 MAILING5 ADDRESS AVE S FEDERAL WAY SWA 9003 PHONE tV ASCO FIRE PROTECTION t MAILING ADDRESS �� •NTRACTOR 15000 WOODINVILLE-REDMOND RD. #B-800 E-MAIL ` / CITY STATE ZIP FAX WOODINVILLE WA 98072 - - - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# COSCOFP110NM 12 i 31 / 11 20 01-101889 00 BL NAME PHONE COSCO FIRE PROTECTION APPLICANT MAILING ADDRESS E-MAIL 15000 WOODINVILLE-REDMOND RD. #B-800 CITY STATE ZIP FAX WOODINVILLE WA 98072 PROJECT CONTACT NAME NIKI RHODES PIWNE425-686-6300 (The individual to receive andMAILING ADDRESS respond to all correspondence concerning this application) 1 000 WOODINVILLE-REDMOND RD. #B-800 nrhodes@coscofire.com CITY STATE ZIP FAX WOODINVILLE WA 98072 ALTERNATE CONTACT NAME: PHONE E-MAIL AL "SMITTY" SMITH 425-686-6300 smitty@coscofire.com PROJECT FINANCING NAME ❑ 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 o, uch claim),which may be made by any person,including the undersigned,and filed against the city, but only where such claim 2 out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the _ . a p• 'f.f h' application. SIGNATURE: // DATE 8-11-11 PRINT NAME: THERESA N. RHODES Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application