01-103943•
CRY OFG C�
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PARCEL #
OCT 10 2001
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 661-4129
Ul(Y Uir J'I DLHAL WAY
FIRE PROTECTION SYS-ff JI APPLICATION
Federal Way Business License number:
222to4 - goa(o -oo
SITE LOCATION
FPS 01
Commercial M
-11
Residential ❑
-,7
Tenant/Owner ��L�-� �i SE Pflt(�1 Fl G SEjZllt Lf%� Phone
.c: A
Address/City/State/Zip 3 L4 5 5 S. 3q L47N WAY .- Bi-06144Ca-- 5u fft 2JJy , FELRSL- WA 111 3
Nature of Work. t7I RE SPR 1 bJ 1u-��R I ENanl i '5��X P"UCM l NT -S Project Valuation: $ '7 550' l -
APPLICANT
Name
*Address/City/St/Zip
Contact Person
Phone Fax
CONTRACTOR
Company Name P R I N X(Z l P,zdr� < < ►� SNC
Address/City/St/Zip 5 i 1 q ?T' F -7u S D 1 c te- * G P N (5 Li2, 616 (AA c 6() 2 (, ).0 99335
Contact Person _T-)5ey �A F �,k uw Ems.Phone �z5'3� 35 3 -7-7s0 Fax CZ`''') 85 3-`J8riD
State L & I Contractor Registration # 5P R I N i- p 1 Exp. Date 0("L07102 -
(Card
t"D7 02 -
(Card must be presented)
PLEASE SUBMIT THREE (3) SETS OF DRAWINGS AND CUT SHEETS, PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" X 3611
DISCLAIMER: I certify, under penalty of perjury, that the information firnmished 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 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 part of this application.
Owner/Agent
FPS.Arr
REvmsm 5/19/99
Date /OZ 10 Lo