02-100100 • •
City of Federal Way Fire Prevention System Permit #:02 - 100100 - 00 - FP
nu
Conunity Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CHRISTINE ALEXANDER
Project Address: 34210 9TH S Parcel Number: 926480 0090
Project Description: FP-Install fire sprinkler system
Owner Applicant Contractor
QUADRANT CORP SMITH FIRE SYSTEMS INC SMITH FIRE SYSTEMS INC
1106 54TH AVE E 1106 54TH AVE E
TACOMA WA 98424 TACOMA WA 98424
(253)926-1880
PERMIT EXPIRES July 14,2002,IF NO WORK IS STARTED.
Permit issued on January 15,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
RECEIVED BY
.1r COMMUNITY DEVELOPMENT DEPARTMENT
UrY r�
JAN U �,
BUILDING DIVISION
•of
F 1Z�_ JAN 2002 33530 First Way South
Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number: 10 1
FPS ()2 - IL2?/00
PARCEL it Commerci 1 Residential ❑
SITE LOCATION
Tenant/Owner h A- i_ (1.0 Phone
Address/City/State/ZipQ\—t j tl (\)�t. 5 -Vc-cic cal 1 C..L. , (
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Nature of Work\ a 6. 30 51��i r r�t '' 1 I)), Project Valuation:$ t-1 19 Cs
•
APPLICANT
Name "-J' ° t 9c" ovto or)
Address/City/St/Zip l'Olt �� , 1cit t, . 1 L"JY /
Contact Person l O 1\-\ %l Phone35' 906- ) Fax
CONTRACTOR
Company Name `T1 a ti\ L e ' -)0(--A0
Address/City/St/Zip
\C to 5Lt '1 `c _. C C ( )
Contact Person t RGAI)Cr) (2
Phone9/53–eiti /Ce?� -� Fax
State L&I Contractor Registration# r �1 i r`:1'i b(i C) Exp.Date /0)91/43 9-
(Card must be presented)
PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" x 36"
DISCLAIMER:I certify,under penalty ofperjury,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(including costs,expenses,and attorneys'fees incurred in investigation and defense of such claim),which maybe.
made by any person,including the undersigned,and filed against the City of Federay Way but only where 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.
� 1 Ji t_ itca. ] 0/ __ Ce– `c'_
Owner/Agent Date
FPS.APP
Revrseo 5/19/99