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20-101150 A_ RECEIVED FIRE PERMIT CITY OF MAR 1 1 2020 Federal Way APPLICATION CITY OF FEDERAL.WAY COMMUNITY DEVELOPMENT PERMIT NUMBER _ v! / / 5 0 - F L.� V SUITE/UNIT/SPACE# SITE ADDRESS:952 SW Campus Dr, Federal Way, WA 98023 (p y.24,2 / BLDG 31 PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ 3000.00 - PROJECT NAME (Tenant or Homeowner Last Name) Glen Park Apartments Fire alarm pane upgrade PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Jessica Dale/ Prime Group ( ) - MAILING ADDRESS E-MAIL 952 SW Campus Dr jessica.dale©primegrp.coi CITY STATE ZIP FAX Federal Way WA 98023 ( ) - NAME PRIMARY PHONE Innovative Systems Technology, Inc ( 253) 372.2693 MAILING ADDRESS E-MAIL ELECTRICAL 1402 Lake Tapps Pkwy SE Suite 104#147 officeAist-fse.com CONTRACTOR CITY STATE ZIP FAX Auburn WA 98092 ( ) - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# I n novst881 B4 1 /24 /2022 NAME PRIMARY PHONE Innovative Systems Technology, Inc ( ) - APPLICANT MAILING ADDRESS E-MAIL 1402 Lake Tapps Pkwy SE STE 104-147 office@ist-fse.com CITY STATE ZIP FAX Auburn WA 98092 ( ) - NAME PRIMARY PHONE PROJECT CONTACT Dana Jensen 2532507198 ( ) - 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: 7194-1-a- c 5'&M'r2 DATE 03/10/2020 PRINT NAME: Mona Sand, Office manager PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcente ricityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application