00-102911 arYOPG _ BOODINGDMSION
EOEJZ -ice 33530 First Way South
uV
Federal Way,WA 98003
MAY 1 7 2000Fax(253)661-4
FIRE PROTEC11OW°S•SFEM APPLICATION
Federal Way Business License number: 6�
F P S OO - 021111
PARCEL# Commercial.Er Residential ❑
SITE LOCATION
Tenant/Owner DI'S 'CD t/flit)S l .us t .�I 1r— Phone
Address/City/State/Zip -
114
Nature of Work I f2.� ,c+.1 ►� Project Valuation;$ 1 Z °°
APPLICANT
Name A l,., ka rn v AR-
Address/City/St/Zip -Pt' 6 eX 1:1-1‘.14 \,v 1-
Contact Person C r :S t'tr-3 Gam- Phone 2S7- 759- 73/(a Fax s 3- $79- /3 740
CONTRACTOR
Company Name Ab�-4..... .
Address/City/St/Zip
Contact Person Phone Fax
State L&I Contractor Registration# A Z m S5 D 'A P Exp.Date Cs- I to• 00
(Card mast be presrmedj
PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24"X 36"
DISCLAIMS:IomNty,underparkyapq�uy,that the information funithed by me is*se and coned to the best of my knowledge and father that I am authorised by theowner ofthe*caw premises bpafoanthe worn
foewhich permit application ismade.IMut agree bserehornless the City of MealWaystoanyd (including costs,ammo;and attorneys'fees boned ininveali on and dsau orate*claim),which may be
made by my person.Including the mdersigned,and Sled against*.City of Fedway Wey but ally where such chin'wises antalbs reliance of the city,including its officers and omployees,upon the accuracy ofthe
information supplied to the city as a pat ofAds application.
,O �
Owner/AgeOwner/Agent [ S • i ' oG
/4 Date
FPSAer
Sinew 5/19199