20-101173 RECEIVED FIRE PERMIT
Federal Way
CITY OF MAR 1 1 2020 APPLICATION
Federal
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT 4.3
PERMIT NUMBER 1►1 — / 0 / / 7 3 _ FI -
lJ SUITE/UNIT//SPACE#
SITE ADDRESS:952 SW Campus Dr, Federal Way, WA 98023 6 BLDG 57
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3000.00 -
PROJECT NAME
(Tenant or Homeowner Last Name) Glen Park Apartments
Fire alarm panel 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 office@ist-fse.com
CONTRACTOR CITY STATE ZIP FAX
Auburn WA 98092 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Innovst881 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 partof this application.
•
SIGNATURE: 71//49.4-1-a, c5'a.414// DATE 03/10/2020
PRINT NAME: Moria Sand, Office manager
PERMIT CENTER+ 33325 86.Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterri-,cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application