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18-103090 etTY OF 4%ik, PERMIT APPLICATION Federal a PERMIT CENTER+33325 8th Avenue South fis2i� •�03 6325 253-835-2607+FAX 253-835-2609+permit e a► .com PERMIT NUMBER I S _ k o ; 0 a IP? JUL 1 3 2018 TARGET DATE CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT SITE ADDRESS SUITE/UNIT# 33455 6th Ave S PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 926500-0340 $ 3,300 _ TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING FIRE PREVENTION NAME OF PROJECT Lennar Add 7 new smoke detectors in new offices. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE Cedar Park at West Campus PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAME Fire Systems West Y POS 253-833-1248 MAILING ADDRESS 206 FrontageE-MAILI Rd N, Suite C @firesystemswest.com CONTRACTOR CITY Pacific STATE ZIP FAX WA 98047 253-735-0113 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# FireSWI055LW 12 31 18 '19-87-000014-00-BL NAME PRIMARY PHONE Matt Carlman APPLICANT MAILING ADDRESS E-MAIL See Above See Above CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT Matt Carlman (The individual to receive and MAILING ADDRESS respond to all correspondence See Above E-MAIL See Above concerning this application) CITY STATE ZIP FAX NAME PROJECT FINANCING 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIPPHONE (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. l SIGNATURE: Cf Gc�� DATE '/// 3 / PRINT NAME: r • %J` l�Ct(�1 alCL Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application