15-100180-OK
CITY OF 404 -
a „
Federal Way
JAN 14 2015
.7! ! *411
PERMTNUMER:r ,�►
0
TARGET DATE
SI D
SUITE/UNIT #
6 0 RD ST., FEDERAL WAY, 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 795.00
9 2 6 5 0 0_ 0 1 9 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 19 FIRE PREVENTION
NAME OF PROJECT
CITY OF FEDERAL WAY (EVIDENCE BLDG.)
INSTALL AN A.E.S. FIRE ALARM COMMUNICATOR, AND CONNECT TO EXISTING
PROJECT DESCRIPTION
Detailed description of work to
FIRE ALARM CONTROL PANEL.
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
CITY OF FEDERAL WAY
(253) 835-6911
MAILING ADDRESS -
600 333RD ST.
E-MAIL.
CITY
FEDERAL WAY
STATE
WA
ZIP
98003
NAME
PHONE
ALARM CENTER INC.
(800) 354-1555
MAILING ADDRESS
PO BOX 3407
E-MAIL
dcoates@alarmcenterinc.co
CONTRACTOR
CITY
LACEY
STATE
WA
ZIP
98509-3407
FAX
WA STATE CONTRACTOR'S LICENSE N
ALARMC1055CW
EXPIRATION DATE
02/ 29 j16
FEDERAL WAY BUSINESS LICENSE #
20-00-101-452-00-131-
0-00-101-452-00-BLNAME
NAME
PRIMARY PHONE
SAME AS ABOVE
APPLICANT
MAILING ADDRESS
SAME AS ABOVE
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
DENNIS COATES
PRIMARY PHONE
800 354-1555
(The individual to receive and
respond to all correspondence
MAILING ADDRESS
PO BOX 3407
E-MAIL,
dcoates@aIarmcenterinc.corr
CITY
LACEY
STATE
WA
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
0 OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
1 certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner. 1 certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. 1 certgy that 1 will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. 1 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 apart of this application.
SIGNATURE; 0DATE 01/13/2015
PRINT NAME; DENNIS COATES
Bulletin #100 — January 1, 2013
Page 1 of 3
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