15-104038•
•
•
CITY OF 'A
Federal Way
PERMIT NUMBER 7 _ I Ll O J_ L
ELECTRICAL
PERMIT APPkkCE#,WN
AUG 112015
rrry niF FI-nr-PAi wAY
SITE ADDRESS: 31510 - 23rd Ave. S Federal Way, WA 98003
SUITE/UNITj($RACE #
_
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL #
CURRENT/PROPOSED USE
$ 2,100.00
0921049190 _ _ _ _ _ _ _ _
Apartment
PROJECT NAME
(Tenant or Homeowner Last Name)
Meridian Court 11 Apartments
p
INSTALL 1 E AES TRANSCEIVER COMMUNICATOR TO EXISTING FIRE ALARM SYSTEM.
NO INITIATING DEVICES OR NOTIFICATION DEVICES MODIFIED OR ADDED TO THE
PROJECT DESCRIPTION
EXISTING SYSTEM FOR THIS WORK.
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Meridian Crt Apts LTD
( ) -
MAILING ADDRESS
EMAIL
31420 - 23rd Ave. S.
CITY
STATE
ZIP
FAX
Federal Way
WA
98003
NAME
PRIMARY PHONE
Froula Alarm Systems, Inc.
MAILING ADDRESS
EMAIL
ELECTRICAL
861 Industry Drive
howardw@froulaalarms.com
CONTRACTOR
CITY
STATE
ZIP
FAX
Tukwila
WA
198188
(206-5y5-8168
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
FROULAS122DS 3 /10 /2015
19 -98 -105635 -00 -BL
NAME
PRIMARY PHONE
APPLICANT
Froula Alarm Systems, Inc.
MAMING ADDRESS
EMAIL
861 Industry Drive
howardw@froulaalarms.com
CITY
STATE
ZIP
FAX
Tukwila
WA
98188
I
(206-�75-8168
PROJECT CONTACT
NAME
Howard Williamson
PRIMARY PHONE
( ) _
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{(y 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 clainq, 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:��
PRINT NAME: Howard Williamson
Bulletin #160 —January 1, 2013
Page 1 of 2
8/6/15
k:\Handouts\Electrical Permit Application