18-101801 CITY OF
SAL PERMIT APPLICATION
Federal Way PEST CENTER+33325 8th Avenue South REO`3D003-6325
253-835-2607+FAX 253-835-2609+permitcenter(a..cityo federalway.com
APR 2 6 2018
PERMIT NUMBER 13 0 l g RAL WAY
— _ - - _ T TARGET DATE
SITE ADDRESS SUITE/UNIT#
35808 Sw 4th Place Sw
I
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 5000 . 00 3021049182 _
TYPE OF PERMIT 0 BUILDING ❑PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 12 FIRE PREVENTION
NAME OF PROJECT S-20 Mehl Homes
PROJECT DESCRIPTION install an NFPA 13D fire sprinkler system
Detailed description of work to p y
be included on this permit only With a back-flow device
NAME PRIMARY PHONE
ME H L HOMES INC
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE. .
Evergreen Fire Protection, Inc. 253-381-4456
MAILING ADDRESS E-MAIL
CONTRACTOR
PO Box 998 Evergreenfirepro@msn.com
CITY STATE ZIP FAX
Puyallup Wa 98371
WA STATE CONTRACTOR'S LICENSE* EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
EVERGFP967LZ 06/ 20)(8 20-05106411-00B1
NAME PRIMARY PHONE
Same as above
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
Y
NAME PRIMARY PHONE
PROJECT CONTACT Mike Hutchinson 253-381-4456
MAILIN(The individual to receive and GPD Box 998
ADRESS Evergreenfirepro@msn.com
respond to all correspondence
concerning this application) CITY Puyallup STATE
a 98371 FAX
NAME
PROJECT FINANCING 0 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 authorised 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 authorised 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 suppliedl2the city as a part of this application.
SIGNATURE: 1s� DATE
4/24/2018
PRINT NAME: Mike Hutchinson
Bulletin#100—January 29,2016 Page 1 of 2 k:Wandouts\Pennit Application
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