00-102559 04/[r, UU TRU 41N:36 I.AA. G33U6141LN CITY OF FEDERAL 4VA1 tr0' UU1
• •
arrop35U1i11TPiGDR'IST67N
F9 .. 33530 First Way South
BULIMIC
Way,WA 98003
(253)661-4000
Fax(253)661-4129
w+ 41 1 FIRE PROTECTION SYSTEM APPLICATION
Gli,eaoloO DEPT Federal Way Business License number: 2'7
FPS , _ ( &01 ti 1
PARCEL itC Commercial ..0 Residential CI
/' av,crl".,r, *,"T o o__ i oo e'!9/
SITE LOCATION
7e"):woOwner SYA/7`4 X (A f_.EA / Photle
Address/City/State/Zip —3 34, [,o ' A/8rS pat i/ .
Nature of Work M 01)1 may ,S 7'''C /N./cd•,E'. S Project Valuation:$ .3?ee' oo..
APPLICANT
Name Fl i k/= M 4 ,;—/: -/--i--1E
Address/City/St/Zip ll % ' . 1 ti =. ----179C a lin
T caM 4.- 14- 9�{ci-/'°./
Contact Person Si'!! /w✓'/e- Phone 1-5-3 3. --. .g",04/ Fax . :5-3 38' - 8°I?
CONTRACTOR
Company Name_ 11 4 0
AddresslCity/St/Zip 5 5 .,0i-r`l/51/v,r1" /57 it / 4-C o A,4- 604- 942/
6.Contact Person /// /J✓/c Phone 0-.5= -_3G —3 -0...J Fax 6 3--- ,S3-3,99)'
State L&I Contractor Registration# /`12i-tit 4 -jt O 6 0'/9 . _ _ Exp.Date t =/- Q
(Car4 remote be presers440
PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SKEET SIZE: 24" X 36"
DISCLAIMER:l aen /.mutat Faulty orp.cj uy.that the intoaution Itlaiiatt d by/twit tnic.'4 co W tho boat of my Imwiadge and Sanwa the l am aut3wozd by nee owner otft.*boas Minims m p°sfcero tho'wed
farvdueh remitapp5aKmi a mato 6uthee twee in Lave twinkle&mo city air Federal Way u to anydaifa Caulading coats.escponec and alt nnaya'hes mnazod'atinvaatikaam and defame ata i ll claim),w1,k i may be
made by any pawn.Including eh*undarakenad.and Gleed ageinea du City of todnnty Way Ya only where welt claim alas oto alae maaare of saw oily.melba Jap lt*edam and amcdayac.,q n+a eccwaey of the
infomsaian supplied to the dry u a part of this orlieation.
�er/Agent, 4/m�
- �
C7vtv �Z°'� •-�G/ � . Data ...
P ,p0
alas.,
Acre=5/110/9