18-100712 ,
RECEIVED
FEB 13 2018 PERMIT APPLICATION
CITY OF
Federal CITY OF FEDERAL WAY PERMIT CENTER+33325 8'h Avenue South+ Federal Way,WA 98003-6325
COMMUNITY DEVELOPMENT 253-835-2607+ FAX 253-835-2609+permitcentergicitvoffederalwav.com
PERMIT NUMBER 1 _ 1 V 0 1 ' 4 _ I
TARGET DATE //
SITE ADDRESS SUITE/UNIT#
34114 21st ave . so. Federal Way,WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ $2,000 2121049033 _
TYPE OF PERMIT ❑ BUILDING D PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING IRE PREVENTION
NAME OF PROJECT Ellenos Greek Yogurt
PROJECT DESCRIPTION
Detailed description of work to Fire Systems West is to install a new AES radio to monitor an existing fire alarm
be included on this permit only panel
NAME PRIMARY PHONE
Schindler Fmly LTD Prtnrshp
PROPERTY OWNER MAILING ADDRESS E-MAIL
34114 12st ave S
CITY STATE ZIP
Federal Way WA 98003
NAME Fire Systems West PHONE253-833-1248
MAILING ADDRESS 206 Frontage Rd N Suite C E-MAIL
CONTRACTOR AlexK@firesystemswest.ca m
CITY STATE ZIP FAX
pacific WA 98047 253-735-0113
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI140B1 12 /31 /18 19-87-000014-00-BL
NAME PRIMARY PHONE
Alex Kawalec
APPLICANT MAILING ADDRESS E-MAIL
Same as above
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT Alex Kawalec
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence Same as above
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ 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 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 of this application. /
SIGNATURE: C -'' �) DATE 2/! 3//
YG
PRINT NAME: Ai-GX am/ex i ec
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Pennit Application