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11-101451 . • i _ 10 ( .1-5-_i_ -4§, Federal way PERMIT SF MF CO ME PL nDnET ft*? COMMUNITY DEVELOPMENT SERVICES APPLICATION SUB'"t 1 253-835-2607•FAX 253-835-2609 www otyoffederalwmj rnm APR 1 5 2011 SITE ADDRESS CE©ERALWAY 505 South 336th 4th p&,-,- 4(24' PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# x}09 . 80 (e� ZO ) 9264800270 - TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL -BEM ITION 0 ENGINEERING N FIRE PREVENTION NAME OF PROJECT Areva (Tenant Name/Homeowner Last N Install fire alarm devices in new TI and - r- PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP ��jNAME Froula Alarm Systems, Inc 206-575-1962 MAILJX861 Industry Drive krr E-MAILfroulasolutions.com CONTRACTOR 0117 Tukwila SW8188 FAx 06-575-8168 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# F12otALA.staa-DS PI/ its C712)- (05(o35 -oo NAME PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME Kristopher Conner 253-753-6660 (The individual to receive and 1�ppRa�s respond to all correspondence m b l Industry Drive E-MAIL corn concerning this application) CITY Tukwila WA ATE ZIP 98188 FAX ALTERNATE CPNTACT NAME: PHONE E-MAIL Marjory Earle 206-575-1962 marjory@froulasolutions.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: DATE 4/15/2011 PRINT NAME: Kristopher Conner Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application