16-100636 CITY OF PERNT APPLICATION
Federal Way
RECEIVED
PERMIT NUMBER C I . FEB 932016
_ - - --_ i
CIT1Tabogr ML WAY
SITE ADDRESS (-Ds
SUITE/UNIT#
1201 336th Street bldg K,L,M,N&0
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 41
$ 40,000 2 0 2 1 0 4 9 0 7 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING Ig FIRE PREVENTION
NAME OF PROJECT Kitts Corner Apartments
Install fire alarms in new buildings at apartment complex
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Kitts Corner Development LLC
MAILING ADDRESS E-MAIL
1026 Bellevue Way SE
CITY STATE ZIP
Bellevue WA 98004
NAME
Zeus Fire&Security,LLC PHONE
253-445-6561
MAILING ADDRESS EMAIL
CONTRACTOR 14706 Meridian Ave E,#12 kris@zeusfireandsecurity.com
CITY STATE ZIP F..
Puyallup WA 98375 53-845-4083
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ZEUSFFS861R4 12 24 ,2016
NAME
PR
same as contractor
APPLICANT MAILING ADDRESS
E-MAIL
CITY STATE ZIP FAX
NAME
PRIMARY PHONE
PROJECT CONTACT Kristopher Conner 253-306-3899
MAILING ADDRESS EMAIL
(The individual to receive and
respond to all correspondence 14706 Meridian Ave E,#12 kris@zeusfireandsecurity.com
concerning this application) CITY STATE ZIP FAX
Puyallup WA 98375 253-845-4083
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
(RCW 79.27.095) 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 p rt of this application.
SIGNATURE: DATE 2/3/2016
PRINT NAME: Kristopher Conner
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application