15-10576109
CITY OF V&
Federal Way
PERMIT NUMBER 1
r PERMI*APPLICATION
RECEIVED
7-6
NOV 122015
TARGET DATE
----- — -- 7TTRALWAY
SITE ADDRESS
SUITE/
1820 S 341 st Place, Federal Way, WA 98003
PROJECT VALUATION
$ 250.00
ZONING
ASSESSOR'S TAR/PARCEL #
3 9 0 3 8 0_ 0 0 8 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING e FIRE PREVENTION
NAME OF PROJECT
Lee's Automotive
Installation of an AES radio transmitter to monitor the existing FACP
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Trison Enterprises Inc
206-288-9964
MAILING ADDRESSL
tnson123@gmail.com
PO Box 77510
CITY
Seattle
STATE
WA
ZIP
98177
NAME
PHONE
Guardian Security Systems
MAILING ADDRESS
E-MAIL
1743 First Ave S.
CONTRACTOR
CITY
STATE
ZIP
FAX
Seattle
WA
98134
WA STATE CONTRACTOR'S LICENSE #
GUARDSS233K5
EXPIRATION DATE
09/30 /16
FEDERAL WAY BUSINESS LICENSE #
19 -98 -105663 -00 -BL
NAME
Guardian Security Systems
PRIMARY PHONE
206.349.5889
MAILING ADDRESS
1743 First Ave S.
E-MAIL
jknox@guardiansecurity.com
APPLICANT
CITY
Seattle
STATE
WA
ZIP
98134
FAX
206.628.4990
PROJECT CONTACT
NAME
Jen Knox
PRIMARY PHONE
253-564-4564
MAILING ADDRESS
1743 First Ave South
E-MAIL
jknox@guardiansecurity.com
(The individual to receive and
respond to all correspondence
concerning this application)
CITY
Seattle
STATE
WA
ZIP
198134
FAX
206.658.4990
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
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 ty as a part of this application.
SIGNATURE: DATE 10/23/2015
PRINT NAME: Jen K x
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application