17-103372 RECEIVED
ELECTRICAL
CITY OF JUL 13 2017
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT I 13 72_ OO
PERMIT NUMBER 7 _
SUITE/UNIT/SPACE#
SITE ADDRESS: 33455 6th Ave S
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
500.00 9 2 6 5 0 0 0 3 4 0
PROJECT NAME N A�n t ' 1 T O F(, J ,(
Tenant or Homeowner Last Name) Cedar Park @ West Campus W I`} V /"C(� 1 (/L/ /-�
Relocate existing Fire Alarm devices and install new Fire Alarm
devices for tenant improvement.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Edifice Investors LLC. ( ) -
MAILING ADDRESS E-MAIL
11286 La Madre Ridge Dr
CITY STATE ZIP FAX
Las Vegas NV 89135 )
_.. NAME PRIMARY PHONE
Fire Systems West, Inc. (253 ) 833 _ 1248
MAILING ADDRESS E-MAIL
ELECTRICAL 206 Frontage Rd N, Suite-C serviceSfiresystemswest.com
CONTRACTOR CITY STATE ZIP FAX
Pacific WA 98047 ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI055LW 06/16 /18 19-87-000014-OOBL
NAME PRIMARY PHONE
Fire Systems West, Inc. ( ) -
APPLICANT MAILING ADDRESS E-MAIL
Same
CITY STATE ZIP / FAX
l )
NAME PRIMARY PHONE
PROJECT CONTACT Matt Carlman ( 253 )951 -6005
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 re - the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless t - ity of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense • su • aim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim ' 'ses • t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the ty • •part of this application.
SIGNATURE: DATE 07/12/2017
PRINT NAME: Matt C:rim:n
PERMIT CENTER+33325 8'h Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenteracityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application