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12-100920 Cin or PERMIT SF MF COME PL DE Federal Way e � ��r/ COMMUNITY I)F,VEI.0PMFS I'SERVICES APPLICATION R 253.835 2607.FAX 253'+35-2609 u_1/0%,attrilerlernlilrly.emu FEB 2 8 112 SITE ADDRESS _..._ 32205 11TH PLACE SOUTH CITY Cr` ERAL WAY CD PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL E S_ $ 8,149 ( - z � © 4 - Q TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT y� (l'eruud Nanu/llom..4,wner Last Name) a ��,- , APARTMENTS INSTALL NEW FIRE ALARM SYSTEM FOR REQUIRED R2 UPGRADE PROJECT DESCRIPTION Detailed descripti,>n of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER CREEKWOOD APARTMENTS 253-839-4460 MAILING ADDRESS E-MAIL 32205 11TH PLACE SOUTH CITY ZIP FEDERAL WAY STATE WA8003 NAS PHONE LINX INTEGRATED 253-848-3036 MAILING ADDRESS E-MAIL CONTRACTOR 11409 58TH AVE E jonathan-kAlinxnw.com CITY STATE ZIP FAX PUYALLUP WA 98373 253-848-0542 WA STATE CONTRACTOR'S LICENSE f EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE IF LINXII*927PN 10/ 15 12 20-00-101834-00-BL NAME PHONE JONATHAN KARKOSKY 253-848-3036 `' "I"`'n'T 11409 58TH AVE E joG ADDRESS nathan-k@linxnw.com CITY STATE ZIP FAX PUYALLUP WA 98373 253-848-0542 PROJECT CONTACT NAME PHONE (The individual 10 receive and JONATHAN KARKOSKY respond to all(.7,a-respondence MAILING ADDRESS E-MAIL concerning thi',application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME OWNER-FINANCED Required value of$5,000 or rrnre (RCW 19.2 .0.95) 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 knowiedue, 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: /'lam _ DATE 02-28-12 PRINT NAME: NATHAN KARkKY Bulletin#100—January 1,2011 Page I of 3 k:AHandouts\Permit Application