14-100767Pri
ciry cr PE IT
EPP( LICATION
Federal Way LS ICA - MEWED
(s suEp FEB 19 2014
PERMIT NUMBER ` 4 _ D 0 7TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT
2410 S 312TH, FEDERAL WAY, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ 775.00 0 9 2 1 0 4 - 9 0 2 6
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING [X FIRE PREVENTION
NAME OF PROJECT STEELE LAKE BEACH HOUSE
REPLACE EXISTING STU FIRE ALARM TRANSMITTER WITH AES RADIO
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
• NAME PRIMARY PHONE
PROPERTY OWNER CITY OF FEDERAL WAY (253)835-7000
MAILING ADDRESS E-MAIL
33325 8TH AVE S
CITY STATE ZIP
FEDERAL WAY WA 98003
NAME PHONE
ALARM CENTER INC. (800)354-1555
MAILING ADDRESS E-MAIL
CONTRACTOR PO BOX 3407 sanderson@alarmcenterinc.cm
CITY STATE ZIP FAX
LACEY WA 98509
WA STATE CONTRACTOR'S LICENSE k EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
ALARMCI055CW 02 16 / 15 200-00-101452-00-BL
PRIMARY PHONE
NSCOTT ANDERSON (800)354-1555
APPLICANT MAILING ADDRESS E-MAIL
PO BOX 3407 sanderson@alarmcenterinc.c4 m
CITY STATE ZIP FAX
LACEY WA 98509
NAME PRIMARY PHONE
PROJECT CONTACT SAME AS ABOVE
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
FINANCING
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 city as a part of this application.
SIGNATURE: /A_..--.s"- DATE
PRINT NAME: SCOTT ANDERSON
Bulletin#100—January 1,2013 Page 1 of 3 k:\HandoutsTelmit Application