16-105248 11110 •
RECEIVED PERMIT APPLICATION
Federal Way
OCT 31 2016
PERMIT NUMBER /J}.J_I IzDvALANt.l. y _ !�
�J /_ TARGET DATE
SITE ADDRESS SUITE/UNIT*
1066 South 320th Street-bldg C(tka H)
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL I
s 1),093.000 8 2 4 _ 9 1 8 8
TYPE OF PERMIT ❑BUI DING ❑PLUMBING ❑MECHANICAL ❑DEMOLITION ❑ENGINEERING 1=R FIRE PREVENTION
NAME OF PROJECT High Point Apartments
Install fire alarm sstem in apartment complex. All buildings to have the same equipment installed.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER High Point 320 LLC
MAILING ADDRESS E-MAIL
1066 South 320th Street
CITY STATE I ZIP
Federal Way I \A;`
NAME PHONE
Zeus Fire&Security,LLC 253-445-6561
MAILING ADDRESS E-MAIL
CONTRACTOR PO Box 731247 kris@zeusfire.com
CITY STATE ZIP FAX
Puyallup I WA 98375 253-617-0693
WA STATE CONTRACTOR'S LICENSE i ERPIRATTON DATE FEDERAL WAY BUSINESS LICENSE#
ZEUSFFS861R4 " / 24 /16 15 101265(
NAME PRIMARY PHONE
Same
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE I ZIP FAX
NAIVE PRIMARY PHONE
PROJECT CONTACT Kristopher Conner 253-445-6561
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence PO Box 731247 kris@zeusfire.com
concerning this application) CITY STATE ZIP FAX
Puyallup 253-617-069
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
Required value of$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 ci as a part of this application.
SIGNATURE: DATE 10131/2016
PRINT NAME: Kristopher Conner
Bulletin#100—January 1,2013 Page 1 of 3 kAHandouts\Permit Application