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SET BACKS AND FOOTINGS [lKTO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE__ BY _-_- DATE _ ---_.sv __ _ DATE BY
-
PLUMBING ROUGH |w WATER LINE Ox. __. _ MECHANICAL INSPECTION
DATE _gY _ GAS PIPING O.K.-__. __ DATE 'BY
O.x� TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
oATE DATE _ BY DATE -___Bv
FINAL oa. roOCCUPY
oCo PGo Fo
DATE BY ev_ ��
'
_
_
arrof G BUILDING DIVISION
Way South
• FWay,
doderal 3530 WA 98003
(206)661-4000
Fax(206)661-4129
PERMIT# PS9g?)
FIRE ALARM PERMIT APPLICATION
a lase S. 09.pp/4 I A G,�q 9�°�
Job Address:
f _ race* carry (sue) fir) cs #)
Owner: /C or cps Ac.714de j f Tenant Name: / " '1 ill eAod,s' C'LJ,L4
Contractor: fad".'1 'v.s 'f�m r�io'710o4 9/ Tax Parcel# q
Address: ?1al7 Pie y�, f )1 l 1/s / 1 Zi✓//• " ea0,?
Phone:ff-si-riNtif Contractor License#: QED et 140,34T Expiration Date: 007
/4
y,� (Card mug be presented)
/C Owner's Address: oram, /' 41t) CA 4.rVA Phone: b P7. -5-720
Contact Person: J -G• °''IPhone: t at [ •
t
PLEASE SUBM[r TBREE SETS OF FIRE ALARM WIRING DIAGRAMS,DEVICE LOCATION PLANS,
AND CUT SHEETS WITS THIS APPLICATION
INDICATE NUMBER OF ZONES ON PANEL,INCLUDING SPRINKLER ZONES,IFAPPLiCABLES y
MAXIMUM PLAN SIZE=24"x 36"
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am
authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save harmless
the city of federal way as to any claim(ncluding costs,expenses,and attorneys"fees incurred in investigation and defense of such claim),
which may be made by any person,including the undersigned,and filed against the city of federal way,but only whew 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.
Owner/Agentt4i.n y Date: 2 10r
Office Use Only(Please do not write below this line)
Remarks:
City of Federal Way Electrical
Permit shall be posted at all Permit Fee(Includes First Zone) $30.00
fire alarm installations. Additional Zones @$10.00 ea.
Processing fee $20.00
❑ Received Total Fees $
Route to: Fire Department
Approved by Date:
FaeArmcAee
xemeorvruns