19-105600 A.
RECEIVED
., '�.. PERMIT APPLICATION
CITY OF •- NOV 2 2 2019
Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(c�,citvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
(----_,..............L......)
PERMIT NUMBER / Gi _ / 0 .5. , od _ F 'P' TARGET DATE
SITE ADDRESS -L I SUITE/UNIT#
1019 S 351st Street Federal Way WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 199
2021.04=9027 _ - _1 F1
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING FIRE PREVENTION
NAME OF PROJECT Neumeier Engineering S
PROJECT DESCRIPTION
Detailed description of work to Installing (1)sole path,cellular fire alarm communicator to an existing fire alarm system that
be included on this permit only was installed by otners.
NAME PRIMARY PHONE
Neumeier Engineering 253-854-3635
PROPERTY OWNER MAILING ADDRESS E-MAIL
22610 88th Ave S mark@neumeierl.com
CITY STATE ZIP ,
Kent WA 98031
NAME _ - PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
aogAiS.S837ry9 & , ZC ,ZO /q-9g-los5-67-0o--15L
NAME PRIMARY PHONE
Johnson Controls Inc
APPLICANT MAILING ADDRESS E-MAIL
19625 62nd Ave S
CITY STATE ZIP FAX
Kent WA 98032
NAME PRIMARY PHONE
PROJECT CONTACT Jeanie Somonski 253-796-7236
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 19625 62nd Ave S jeanie.marie.somonski@jci.com
concerning this application) CITY STATE ZIP FAX
Kent WA 98032
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 ci as a part this application. `
SIGNATURE: /
/DATE / 7/0-Z//57
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PRINT NAME: moi- %' ' &VI Jami-/
Bulletin#100—January 29,2016 Page 1 of 2 k:\l-Iandouts\Permit Application