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13-105315 PERMIT APPLI TI N Federal Way I V E NOV 2 7 2013 PERMIT NUMBER I _ 10s- 315- Fp_ — — _. TARGET DATE __.__CM_QF_FEDERA.L._WAY_ SITE ADDRESS O N_D , T SUITE/UNIT Z C PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N $ 8.000 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING IJ FIRE PREVENTION NAME OF PROJECT Tote @ Foss East Corp. Campus 1 Fire Systems West will be adding and/or relocating devices to accommodate for tenant T.I. PROJECT DESCRIPTION Deluded description of work to he included on this permit only G—_-- NAME PRIMARY PHONE – ---� PROPERTY OWNER FRC FEDERAL WAY LLC N/A MAILING ADDRESS E-MAIL 32001 32ND AVE S 98003 PhiL©firesystemswest.com CITY STATE ZIP Federal Way WA 98003 NAME PHONE Fire Systems West, Inc. 253-833-1248 MAILING ADDRESS E-MAIL CONTRACTOR 206 Frontage Road North PhiL@firesystemswest.corn CITY STATE I ZIP FAX Pacific WA 198047 253-735-0113 WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE u FIRESWI 055LW I_ 12/ 31 / 1319-87-000014 00-BL NAME PRIMARY PHONE Phi Le 253-202-7045 APPLICANT MAILING ADDRESS E-MAIL same as contractor PhiL@firesysternswest.com CITY STATE II ZIP ----- FAX --T– ---�_ — NAME - PRIMARY PHONE PROJECT CONTACT Phi Le 253-202-7045 (The individual to receive and MAILING ADDRESS E-MAIL • respond to all correspondence Same as contractor concerning this application) CITY STATE –ZIP FAX NAME PROJECT FINANCING Li OWNER-FINANCED 'Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE IRCW 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 t the city s a part of this application. SIGNATURE: DATE 11/27/2013 PRINT NAME: Phi Le Bulletin#100–January 1,2013 Page 1 of 3 k:AHandouts\Permit Application