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16-100735 RECEIVED . • FEB 0 9 2016 PERMIT APPLICATION CITY OF Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+permitcentevi citvofederaiway.com CDS PERMIT NUMBER — 0 1) 1 s -(— CCC TARGET DATE \es SITE ADDRESS SUITE/UNIT# 1066 S 320th Federal Way PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# (o�tl/03(0 b - - S TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERINCFIRE PREVENTION NAME OF PROJECT High Point PROJECT DESCRIPTION Install Fire Sprinkler System Detailed description of work to be included on this permit only NAME PRIMARY PHONE High Point 320,LLC 425-453-9551 PROPERTY OWNER MAILING ADDRESS E-MAIL 10900 NE 8th St,Suite#1200 CITY STATE ZIP Bellevue WA 98004 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 360-4 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE -D • WAY BUSINESS LICENSE# UNLIMMI093M6 05 / 13 16 NAME •,i„ • PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT Shelley Johnson 425-583-4775 (The individual to receive and MAILING ADDRESS EMAIL respond to all correspondence PO Box 1457 shelley@umifireprotection.com concerning this application) CITY STATE ZIP FAX Marysville WA 98270 360-435-4802 NAME PROJECT FINANCING Citi Community Capital 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 390 Greenwich St,2nd Floor-New York, NY 10013 213-239-1728 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. �� C� SIGNATURE: "kot ©j��I��+RL 7Y� DATE - 1 \ LO- PRINT NAME: Shelley Johnson Bulletin#100—January 29,2016 1 Page 1 of 2 k:\Handouts\Permit Application