00-105255 r
/�!LI'VEp
cTroR G • 40
R E:'+ empiric DIVISION
33530 Fust Way South
�E«L Federal Way,WA 98003
OCT 2 ® 2°°° (253)6614000
W BUILDING DEPT.AY
Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number:
F P S 061 - /O 2SSFP
PARCEL# 3 ) `-) 3 90 7 Commerciale Residential 0
aorv2.4 etx__ S
SITE LOCATION
Tenant/Owner ieY1 1l/1 5/0-e/50k. J`�1l
0A Phone
� 52(.)
Address/City/State/Zip 5 \/ 3
Nature of Work CV-1+ A 1 c lAn5 5 Project Valuation:$.1(1„00 D
APPLICANT
Name ' 4�-C� Ce-noeteAzv-p—
Address/City/St/Zip
Contact Person Phone Fax
CONTRACTOR
AL-A-calitAOCompany Name )
Address/City/St/Zip • PO PLAI( ( 1 g
Contact Person C k?- )SPhone 3-751 73)IF 1 g 7 4' - / 37(0
State L&I Contractor Registration# Ai Y t\'S5 O 8 0k Exp.Date )6/
(Card mast be presented)
PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" x 36"
DISCLAIMER:Icertify,under penalty ofpecjury,that lheinformation firmished by me is true and correct to the best of my btowledge and further that I am authorized by the owner of the abcive palmists to petrol=the work
for which permit applications made.I fug agree to save hamlets theCity of Federal Way as to any claim(mchd'mg costs,expenses,and attorneys'fees heated in investigation and defense of such claim),which may be
made by any person,including the undersigned,and Sled against the City of Federay Way but only where such claim arises out°Elbe reliance ofthe city,including its officers and employee,upon the accuracy of the
information supplied to the city as a put of this application.
Owner/Agent Date /0 /C1 o(�
Rave=3/19/99