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16-105971 Rirt ED • CITY of Jrn ?.016 PERMIT APPLICATION Federal Way CITY OF FEDERAL WAY 3 00( 3 / _ CDS - / PERMIT NUMBER I n / o S q ? / /�— !!! I TARGET DATE SITE ADDRESS SUITE/UNIT# 33400 9th Ave S Federal Way, WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL# $ 1 ,100 9 2 6 5 0 1 _ 0 0 6 0 TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑DEMOLITION 0 ENGINEERING • FIRE PREVENTION NAME OF PROJECT Golden Stone Properties LLC Installing an AES intellitap&AES radio transmitter to existing fire alarm panel(Fire Lite MS 9200) PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Golden Stone Properties LLC 253-838-4100 MAILING ADDRESS E-MAIL 33400 9th Ave S,Suite 206 CITY STATE ZIP 98003 Federal Way WA NAME PHONE Washington Alarm 206-328-1800 MAILING ADDRESS E-MAIL CONTRACTOR 2030 Airport Way S install@washingtonalarm.com CITY STATE ZIP FAX Seattle WA 98134 206-322-7214 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# WASHIAI282C3 15 05 2017 20-00-101629-00-BL NAME PRIMARY PHONE Manny Ornelas 206-436-5301 APPLICANT MAILING ADDRESS E-MAIL permits@washingtonalarm.com permits@washingtonalarm.com CITY STATE ZIP FAX Seattle WA 98134 206-322-7214 NAME PRIMARY PHONE PROJECT CONTACT Manny Ornelas 206-436-5301 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence Permits@washingtonalarm.com permits@washingtonalarm.com concerning this application) CITY STATE ZIP FAX Seattle WA 98134 206-322-7214 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. l 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 o of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the cit .- f this .L •tion. SIGNATURE: / DATE 12/16/2016 PRINT NAME: Ma as Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application