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19-103352 ,►. RECEIVED PERMIT APPLICATION CITY OF Federal WavuL 2 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 253-835-2607+FAX 253-835-2609+permttcenter'ucitvoffederahtav corn CITY OF FtDc:RAL WAY COMMUNITY Z PERMITNUMBER9 // 3 3 S _//// V TARGET DATE SITE ADDRESS SUITE/UNIT# 31701 Pete Von Reichbauer Way S PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 90,000 CC-C 0 9 2 1 0 4 - 9 0 t 3 4 TYPE OF PERMIT ❑BUILDING El PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING CEI FIRE PREVENTION NAME OF PROJECT Traditions at Federal Way Install DAS system throughout building PROJECT DESCRIPTION Detailed description of work to be included on this permit only AM N IPRIMARY Group 09-321 3204 PROPERTY OWNER MAILING ADDRESS E-MAN. 120 W Cataldo Ave, Suite 100 CITY Spokane STATE WA � 99201 NAME Edison Electric Inc. ''HONE 253-583-0700 MAILING ADDRESS E-MAIL CONTRACTOR PO Box 44850 Joel@edisonelectric.com CITY Tacoma WA '98448 FAX 253-583-0702 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY LICENSE# EC EDISOEI044BR 1 19 20 20-14-100596--BL NAME Joel Sagara PRIMARY 53 583 0700 APPLICANT MAILINGPO BoADDRESS4850 Joel@edisonelectric.com CITY Tacoma STATE ZIP FAx WA 9844853-583-0702 NAME PRIMARY PHONE PROJECT CONTACT Joel Sagara 253-583-0700 ('lyre individual to receive and MAILING ADDRESS JFMAa respond to all correspondence PO Box 44850 Joel@edisonelectric.com concerning this application) Cr"Tacoma WAS ZIP 98448 FAx �V, 253-583-0702 PROJECT FINANCING t >M uNi C1 J / b•ft, 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,QT , / ] PHONE (RCW 19.27.095) 3 Vileete,S7 �� Su1�'l. !6 0 w ��/i �I certify under penalty of perjury am te propertyrtwan*or oraututhorised 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 authorised 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 t of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the ci• of this application. l SIGNATURE: DATE 712-' /9 PRINT NAME: Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application