19-101841 CRY OF PERMT!tvA[PPLICATION
Federal Way
/0t 4) APR 18 2019
CITY OF FEDERAL WAY
PERMIT NUMBER
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SITE ADDRESS SUITE/UNIT#
3600 SOUTH 344TH STREET FEDERAL WAY, WA 98001
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
92/ s2Oo 7'Z 1
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT FEDERAL WAY PUBLIC SCHOOL #24 TI
Add/ Relocate QR pendent head to new ceiling of remodeled spaces
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER NAME PRIMARY PHONE
FEDERAL WAY PUBLIC SCHOOL D
MAILING ADDRESS E-MAIL
33330 8TH AVE S
CITY FEDERAL WAY STATEZIP
WA 98003
NAME Reliance Fire Protection Inc. PHONE
MAILING ADDRESSg 168 304th Ave SE E-MAIL
CONTRACTOR
CITY Preston STATE FAx
ZIP F98050
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
RELIAFP 102L1 31/ 12 /2019 20 -03- /09 6/-OO
Si-
NAME
Oleg Sergeev PRIMARY PHONE
APPLICANT MAILING ADDRESS 8168 304th Ave SE E-MAIL
CITY STATE ZIP FAX
Preston WA 98050
NAME Oleg Sergeev PRIMARY
YPHONE
N 6636
PROJECT CONTACT
(The individual to receive and MAILING ADDS 8168 304th Ave SE E-MAIL
respond to all correspondence Oleg@reliancefire.com
concerning this application) CIS Preston STATE ZIP FAX
WA 98050
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(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.
SIGNATURE: [' DATE 4-I 6-2a1,)
PRINT NAME: 0/7 cJ eAt f e4
Bulletin#100—January 1,2013 Page 1 of 3 k:\Flandouts\Permit Application