16-104990a
RECEIVEO
11r "3 2016
CI7'1' OFC FEDERAL WAY
IVio1(08)
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter{acityoffederalway.com
PERMIT NUMBER I _' V q 9 9 v _ r F 1
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
840 South 333rd Street, Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 1500.00
9 2 6 5 0 0_ 0 1 5 0
— — — — — — — — — —
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING Is FIRE PREVENTION
NAME OF PROJECT
We erhauser NW Plaza - Monitoring Change
Replace existing bosch obsolete dialer with new silent knight 5104B dialer.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Weyerhaeuser Company
PROPERTY OWNER
MAILING ADDRESS
33663 Weyerhaeuser Way S.
E-MAIL
CITY
Federal Way
STATE
WA 1
ZIP
98003
NAME
Fire One, Inc.
PHONE
206-575-0311
MAILING ADDRESS
107 Washington Blvd
E-MAIL
thefireguy@harbornet.com
CONTRACTOR
CITY
Algona
STATE
WA
ZIP
98001
FAX
253-735-4976
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
FIREOI*099KW
05 /18 /17
20 -01 -102994 -00 -BL
NAME
Fire One, Inc.
PRIMARY PHONE
206-575-0311
MAILING ADDRESS
107 Washington Blvd
E-MAIL
thefire u harbornet.com
APPLICANT
CITY'
ZIP
FAX
Al ona
WA
98001
253-735-4976
NAME
PRIMARY PHONE
PROJECT CONTACT
Tim Eastman
206-200-2257
MAILING ADDRESS
107 Washington Blvd
EMAIL
thefireguy@harbornet.com
(The individual to receive and
respond to all correspondence
CITY
Algona
STATE
WA
ZIP
98001
FAX
253-735-4976
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I cert(%y 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 thewner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold har►nless,,t Ci f ederal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investig r d defe se of su clai hich may be made by any person, including the undersigned, and filed against the city,
but only Iere suc c t reliance of the city, including its officers and employees, upon the accuracy of the
info on sup t p o anon.
SIGNATURE: DATE 10/13/16
PRINT NAME: Tim astman
Bulletin #100 —January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application