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18-102753 RECEIVED CITY OF SUN Z 2 2018 PERMIT APPLICATION Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 CITY OF FEDERAL WAY 253-835-2607+FAX 253-835-2609+permitcenterrcityoffederalway.com COMMUNITY DEVELOPMENT PERMIT NUMBER / 8 _ ° al 7 c _ / TARGET DATE SITE ADDRESS SUITE/UNIT# 33705 9TH AVE S FEDERAL WAY WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 1800.00 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING M FIRE PREVENTION NAME OF PROJECT 1032L - CAMPUS BUSINESS CENTER RADIO ADD PROJECT DESCRIPTION INSTALLATION OF FIRE ALARM COMMUNICATOR Detailed description of work to be included on this permit only NAME PRIMARY PHONE CAMPUS BUSINESS CTR 253.272.4499 PROPERTY OWNER MAILING ADDRESS E-MAIL PO BOX 1316 sarahb@simonjohnsonllc.com ZIP TACOMA WA 98401 NAME E-SQUARED SYSTEMS LLC 2 2553.3. 284.3707 MAILING ADDRESS E-MAIL CONTRACTOR PO BOX 731227 Iindseyl@e2systemsllc.com CITY STATE ZIP FAX PUYALLUP WA 98373 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# ESQUASL963BR 20-05-103381-00-BL NAME E-SQUARED SYSTEMS LLC PRIMARY PHONE 253.284.3707 MAILING ADDRESS APPLICANT PO BOX 731227 lindsMAILeyl@e2systemsllc.com CITY STATE ZIP FAX PUYALLUP WA 98373 NAME LINDSEY LESLIE PRIMARY PHONE PROJECT CONTACT 253.284.3707 (The individual to receive and MAILING ADDRESSE-MAIL respond to all correspondence PO BOX 731227 lindseyl@e2systems11c.com concerning this application) CITY STATE ZIP FAX PUYALLUP WA 98373 NAME PROJECT FINANCING D 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 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 tit' plication. • SIGNATURE: ..z �. � DATE 61a I/ 1?-s PRINT NAME: L . _ _ .. Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application