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10-102401 • ill ilL. - �0 d- r.__ A `t"A P IT ME PL DE EN Federal WaySouth �� � 0 COMMUNnY DEVELOPMENT SERVICES to c E 253-835-2607•FAX 253-835-2609 www.cittioflederalwat,.com Detailed JUN 0 8 2 010 ubject to attached dete.116 SITE ADDRESS By D E RA L W Al'SUITb/UNIT« 35415 21st Ave SW, Federal W , A 98403 -----CIFESuite G Date n CDS _ PROJECT VALUATION —""----- —Assz scu 744/PARCEL $ 3720.74 Commercial 2 5 2 1 0 3 - 9 0 0 2 TYPE OF PERMIT D BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ©ENGINEERING Q FIRE PREVENTION NAME OF PROJECT Craft City (Tenantm Name/Homeowner Last Name) `/ Install Notification and initiation devices for the fire alarm system. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER North Shore Management MAILING ADDRESS E-MAIL 20412 23rd Street W. CITY STATE ZIP Lynnwood WA 98036 NAME PHONE FSI Confidence Plus, Inc. 253-826-0099 MAILING CONTRACTOR P.O. Box 1966 kassie@fsicpi.com CITY STATE ZIP FAX (0 3 3 Sumner WA 98390 253-826-Q89W WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k FSICOCP918Q4 11 24 X11 20-09-104923-OOBL NAME PHONE FSI Confidence Plus, Inc. 253-926-0099 APPLICANT MAILING P.O. Box 1966 kESS assie@fsicpi.com CITY STATE ZIP FAX Sumner WA 98390 253-826-1033 PROJECT CONTACT NAME PHONE (The individual to receive and Kassie Harris- FSI Confidence Plus, Inc 253-826-0099 respond to all correspondence 1524 45th StreetNG RE. kasse fsic i com concerning this application) @ P CITY STATE ZIP FAX Sumner WA 98390 253-826-0099 ALTERNATE CONTACT NAME: PHONE E-MAIL Chase Clements 253-561-1202 chase@fsicpi.com PROJECT FINANCING NAME 0 OWNER-FINANCED Required value of$5,000 or more (RCW 19.27.095) MAILING ADDRESS.CITY.STATE.ZIP PHONE 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: E`-7).4- TATE 6/3/10 PRINT NAME: Kassie is- FSI Confidence Plus, Inc Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application