18-100198 RECEIVED
AIL ..
PERMIT APPLICATION
CITY OF - ��N 12 2018
''' .--
Federal Y YaPERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
ITY OF FEDERAL WAY ''. 253-835-2607+FAX 253-835-2609+permitcenternu,citvoffederalway.com
COMMUNfTY DEVELOPMEM'
PERMIT NUMBER / X _ / 0 0 / q y _ F/
(J (( !!JJ TARGET DATE
SITE ADDRESS SUITE/UNIT#
1336 S. 336th St- Federal Way WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 37,500.00 9 2 6 5 0 3 _ 0 0 4 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ENGINEERING E FIRE PREVENTION
NAME OF PROJECT Valley Cities Federal Way
Install addressable fire alarm, as shown on drawing's.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME _ .._ _ PRIMARY PHONE ._ �...
Valley Cities
PROPERTY OWNER MAILING ADDRESS E-MAIL
325 W Gowe St
CITY STATE ZIP
Kent WA 98032
NAME PHONE
M NG ADDRESS E-MAIL
CONTRACTOR vecr"----
Y7"......' STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
f"leridianecurity
- 3 31 19Otlrlo!�ic-o()--z.-.NAMEPRIMARY PHONE
&Electric Inc 253-638-1792
APPLICANT MAILING ADDRESS E-MAIL
PO Box 7171 Scott@meridiansecurity.biz
CITY STATE ZIP FAX
Kent WA 98042 253-638-0396
NAME PRIMARY PHONE
PROJECT CONTACT Scott Harris 253-638-1792
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence PO Box 7171 Scott@meridiansecurity.biz
concerning this application) CITY STATE ZIP FAX
Kent WA 98042 253-638-0396
NAME _.
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 arty 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. / c/
SIGNATURE: DATE - 11- 1 d
PRINT NAME: Scott Harris
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application