16-100733 2D559 c
•ECEIVED s
PERMIT APPLICATION
CITY OF FEB 0 9 2016
Fed j/�I {A/ PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
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CITY OF FEDERAL WAY 253-835-2607+FAX 253-835-2609+permitcenteWcityofederalway.com
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PERMIT NUMBER 1 l ® O I _ )Q\Pc
— —_ TARGET DATE
SITE ADDRESSi��r �q
1066 S 320th Federal Way ►/�/�JL/
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL it � ® � _ 9 �eis
� 3L( - -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING RE 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
_PRIAPRONB
High Point 320,LLC 425-453-9551
PROPERTY OWNER MAILING ADDRESS EmanL
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 360-435-4802
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
UNLIMM1093M6 05 / 13 / 16
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME
PRIlSARY PHONE
PROJECT CONTACT Shelley Johnson 425-583-4775
(The individual to receive and MAILING ADDRESS E-MAIL
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 asapart of this application.
SIGNATURE: DATE '" ' 9 1
PRINT NAME: Shelley Johnson (J C
.Iletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application