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18-100368 ►. PERMIT APPLICATION CITY OF Federal PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+permitc 4 i '.fit .com PERMIT NUMBER C _ t 0 0 ._-" _ FP JAN 2 4 2018 TARGET DATE CITY OF FEDERAL COMMUNITY DEV WAY �OPMEivr SITE ADADDRESSr r- . SUITE/UNIT o � K— BLD K - 09C, $ PROJECT 25 0 'VALUATION ZONING ASSESSOR'STAX/PARCEL Y 0 C) _ C) o 20 TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 11C"MRE PREVENTION NAME OF PROJECT >/* SALTDN. Brimstonetre is installing horn/strobes to an existing FA system PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME „see a - aoodet„.. PRIMARY PRONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAME Brimstone Fire PH( 5-956-3434 CONTRACTOR *AMM417th Ave SE 'Flan@BrismtoneFireSafety.com CITY STATE Woodinville Wa �F98072 FAX WA STATE CONTRACTOR'S LICENSE a EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C BRIMSFS918KO 5/ 22 /19 20-11-101263-00-BL an Anderson PRIMARY PRONE NANLifAPPLICANT MARANO NO ADDRESS E-MAw 23422 57th Ave SE CITY Woodinville wa ZIP FAX 98072 PROJECT CONTACT NAME Ian Anderson PRIMARY 425-956-3434 (The individual to receive and RA°'IIf°2322 57th Ave SE lan©BrismtoneFireSafety.com respond to all correspondence concerning this application) CITY Woodinville STATE8 ZIPFAXFAX 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 authorised 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 authorised 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 ofd is applicaf ion. SIGNATURE: � �_ �----�- - DATE /24/2018 Ian Anderson PRINT NAME: Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application