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PERMIT B4116t"/60 3196.••••Fp sok
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alCity of Federal Way
FIRE ALARM PERMIT APPLICATION
Job Address: 9Ieg SO LA T H 314i TH ST FEOERAL NAY, vVA 12.003
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Owner: Tenant Name: pGET SouNO REALTY _
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Contractor: S'01/44t.i0 ELEC-T R0141 C_C Tax Parcel #
Address: 19Z1 TACon-x A AVE S TA co)44 A NA crilli 01—
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Phone: 7-S3-tilt-2.15S Contractor License #: 504 Ni OE ti 14 oR3 Expiration Date:
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Owner's Address: Phone:
Contact Person: TEFF 13LOon-I0k_A I s'1- .
Phone: 2.53- 472_-Zcl SS
PLEASE SUBMIT THREE(3) SETS OF FIRE ALARM WIRING DIAGRAMS,DEVICE LOCATION PLANS AND CUT
SHEETS WITH THIS APPUCATION.
iNDICATE NUMBER OF ZONES ON PANEL.INCLUDING SPRINKLER ZONES, W APPUCABLE: 2.
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MAXIMUM PLAN SIZE = 24" x 36"
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1 CERTIFYUNDERokii4Ti..::C*Piiii.itiRY-7:04THeit004***IiiiiiIilii***.lkik10'tiitit.00,0.itgEof.T.otiikitit.;, ,
OF my:.KNOWLEDGE ANC/#1*THER THATI:**otookozoi*Ipite.o*seR:041-0.ABOVEE-00400-itiO.EROONIVRE;;: !.:: y
WORK FOR WHICH PERmiitAi.iiiicknori IS Mii*Oii.iltiliEri'ACFitilO SAVE'.HARMLESS THE OF ktiERALWAS,A*
to itiy.cLAIrvyttr,mbbitiattieta,EXPEN3E3"i:Aiiii-ATTORNO.V.FEEt•g4CURRE6 irtirolEOriAtitii4NOMTEOSE**':!:::
sucti'CLAIM)*-iiCw MAY BE MADE etAOy.-Iiiiii00/40:00iiiiiTHE i)NOiikeidiiEb Aii0liiiii0iiAiffiet.114.Cify:.4*,if,-z:sZ
*EoEXAti WAY BUT ONLY iiiimiRE.SUCattAiNt'14Estitcrtf;t4E-REpArtcr.ortHE ermig4troir40.ttkOi10ERe:ANDI.:i
EMPLOYEES UPON THi.A.C..600Acy-op-rktoeFOMAIii*. tiOilisii..t.p*i.OrrYiks A iiirt:OF.:11.1iS.::AiniUCAtior44::: ::1:-.:'...:1.fE.:
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Owner/Agent: 444 Y11.-...-,- -- Date: //30 ICI I
Office Use Only(Pleas*do not watt below this line)
Remarks:
Department of Labor and Industries
Electrical Permit shall be posted Permit Fee(Includes First Zone) $30.00
at all fire alarm installations. Additional Zones @ $10.00 ea.
____ _
o Received Total Fees $
Rout*to: Fire Department
Approved by: Date:
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