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15-101424 IICEVED CITY OF10AA2 4 205 PERMIT PPLICATION Federal Way CITY OF FEDERAL WAY • CDS PERMIT NUMBER _ / U / �C(A. v - FP TARGET DATE SITE ADDRESS 1 cl 0 I S. 3 3(o S ( r-e SUITE/UNIT t ,12371outh 336th Street-Federal Way,WA. PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S $ 309,300.00 a) 0 ,R / U _ '9 v 7 b TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERINGFIRE PREVENTION NAME OF PROJECT Kitts Corner Install Fire Sprinkler System PROJECT DESCRIPTION L Detailed description of work to Q � /7 �f Itlbe included on this permit only (� ` �"''�f�( 7 ,(C/ /?1/i NAME l/'PRIMARY PHONE PROPERTY OWNER Kitts Corner,LLC MAILING 10900 NE ADDRESS Street #1200 EMAIL CITY ellevueWA 98004 425-453-9551 NAME PHONE Unlimited Mechanical, Inc. 425-583-4775 MAILING ADDRESS E-MAIL CONTRACTOR Po Box 1457 shelley©umifireprotection.com CITY STATE ZIP FAX Marysville WA 98270 360-435-4802 WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N UNLIMM1093M6 05 13 16 20-14-101726-00-BL NAME PRIMARY PHONE Shelley Johnson APPLICANT MAILING ADDRESS E-MAIL Po Box 1457 shelley@umifireprotection.com CITY STATE ZIP FAX Marysville WA 98270 360-435-4802 NAME PRIMARY PHONE PROJECT CONTACT Same as above (The individual to receive and MAILING ADDRESS E-MAH. respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING Eastwest Bank 0 OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZU' PHONE (RCW 19.27.095) 135 N.Los Robles Ave.,3rd Floor-Pasadena,CA.91101 626-371-8741 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 reliane of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this ap\—tion. SIGNATURE: � DATE 03/23/2015 PRINT NAME: Shelley Johnson Bulletin#100–January 1,2013 Page 1 of 3 k:\Handouts\Perrnit Application