00-103514 Tv
IP •
CRY Or C BUILDING DIVISION
33530 First Way South
Ay Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number: b 37 JO -- 1163S-14 3S'114
T 1
.F.43.i,1.
PARCEL# 1545)°-;-56— O/9/6 Commercial X Residential 0
SITE LOCATION
Tenant/Owner Sc.(4 i c * / P tr rt cJ he// Phone Z04- 6W e-3anr)
2 -S7' `" p 4. 00 3
Address/City/State/Zip /M/ c5. 3 y / �G� �tl�y , v!/d't
Nature of Work —7015:1411:7 / �� /n 1h 4I d �4�'�',� AI Project Valuation:$__ .
96, Celts Ace..,74iOy AszJ 4 ,-,a 7 .
APPLICANT
Name Pro CC)14A1M
Address/City/St/Zip 19 G 34:' 40 sAtIll. l^). Ly NN,v(( j L44 9 kO 3 Co
Contact Person 1-y '�� Phone Li*- 7741-?CR 9 Fax 1125-77114-/9
CONTRACTOR
Company Name Pro- C4
Address/City/St/Zip 19(030 I-10'' ACK`- 1-`y Nh wat vi i LJA• 1 d?4s
Contact Person L I i Wt.'',b l Phone 1126. ?7(-/- ci 0 91 Fax 0'25-72?-4..11?
State L&I Contractor Registration# (IT -L=c---z/19 5 Lir Exp.Date 21
(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 of perjury,that the information furnished by me is true and correct to the beat of my Imowledge and anther that I am authorized by the owner of the above premises to perform the work
for which permit application is made.I huffier agree to save harmless the City of Federal Way as to any claim(minding costs,expenses,and attorneys'fees incurred in investigation and defense of such claim),which may be
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 past of this application.
owner/Agent �"�%lii; Date
\5/t9/99