02-101353 aiJt,I t I Il i 11 Irl 11_;L,I,101. '1:11 h►I 111
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ry +' 33530 First Way South
' Federal Way,WA 48003
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RECEIVED
Fax(253)661 X1012009
FIRE PROTECTION SYSTEM APPLICATION
Federal WayAl ital,)21agase number:,cDERAL WAY
CIT6oLDNGDEPT. F P' s t/O� . 35-3-
PAaCIRL x
Commercial al' Residential O r-
SITE LOCATION
TennnVOwner—
Phone C#3_,__, .t._
Address/City/State/Zip 11PO5k/ PA5I4 ,
Nature of Worlr .. 18LP.�
'-`-"�J Project Valuation:1
APPLICAN r
Name (-..�'_�
Address/City/Str�iip ` ( T a
Contact PersonvR�-•7 W�(��� ( `� �,,
phone � �b9 L�):arc 647t,7--,2 ,t,'7
CONTRAC1 on
Company Name - ■bb) ) ,
Address/City/Mai lji7- , - %1 r
Contact person
— Phone @UP)„.7..X41_,.--09C/CI, Fax(24.2. 2..!,r2i 7
State L&I Contractor Registration i4 -I 11�[Sr;U stip
,ew.e a.r,.�t.eu Exp.Date -b1-c j
rf~etrer
PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND cur SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" X 36"
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indt in y ate a and ort to re s,to dutch claim),of
maybe
ed'uy recces and employees,upon the env of V1t
Owncr/Agent ire .r :� ,�
MAP,. Date -
Haan 7/19197