11-101449 _ _ - 1 0 i 4 49
......s._.......c. PERMIT SF MF CO ME PL DE EN FSP
Federal Way
SUBMITTED
COMMUNITY DEVELOPMENT SERVICES APPLICATION LI■VATI O E
253-835-2607•FAX 253-835-2609 LL ii iii iii iii iii iii
www.city offederaiwml.corn X gl-r 1 Mal
Cy I 1)
1�✓`( 'I Sr APR 1 5 2011
SITE ADDRESS � T Ed RAL WAY
505 South 336th 4th
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$.-7-915-5-70-0.' 1'100."1/4
9264800270 -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION , F.N(U NG FIRE PREVENTION
NAME OF PROJECT /
(Tenant Name/Homeowner Last Name) Corridor ev A
F�
Install fire alarm devices in new TI and Corridor
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME _.. PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
00.
NAME
P Froula Alarm Systems, Inc 206-575-1962
MAILING ADDRESS E-MAIL
CONTRACTOR 861 Industry Drive kris@froulasolutions.com
CITY
Tukwila STATE ZIP FAX
NI
WA 98188 206-575-8168
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FRC)�t`/�5�22�5 3 / / 13 g5 -t0S(035-aT
NAME PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME Kristopher Conner 253-753-6660
(The individual to receive and
respond to all correspondence MAILIxS E-MAIL
concerning this application) �� Industry Drive kris@froulasolutions.com
CITY Tukwila STATE ZIP9 818 8 FAX
206-575-8168
ALTERNATE CPNTACT NAME: PHONE E-MAIL
Marjory Earle 206-575-1962 marjory@froulasolutions.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 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 art of this application.
/
SIGNATURE: - DATE 4/15/2011
PRINT NAME: Kristopher Conner
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application