00-105138 • IREeElVffD
arfar G BUILDING DIVISION
• oc i 12 200n 33530 First Way South
Federal Way,WA 98003
CITY OF FEDERAL rviAY (253)661.4000
BUILDING DEPT. Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number:
FPSU - (a.Se/340FP
PARCEL# Commercial 0 Residential 0
SITE LOCATION
Tenant/Owner A L L Ell gi%c k care,/ 60104-c---S" S Phone r2 D6 - -39-9
Address/City/State/Zip 3 6Yd-:— pig6-1) 2 HLt-t/ Sd
Nature of Work 'v CGt -`i C 12.r /2+itcr. S7,c 1 Q 1 Project Valuation:S v r u"
APPLICANT �
Name ij�f�-/1,fu `• i ,Gf12 car b U / it,e % Cd - 0,0 Lt C 4- 1 aVV((�'r)
Address/City/St/Zip e- - 6 ok. f 61Y%h-./ 1.--/1 5 ti.. ,A3
Contact Person .'`"G'e 0-- O'ti`/ d W • Phone .°24'C (-6 6 r5' Fax
CONTRACTOR
Company Name 1-1-16 /.s n-i(S ,c41s— 6/7-,11.e7-1T Gc)
Address/City/St/Zip Pd— 114.5Z''-2G 37, fe?anp-9 iQ cis_
Contact Person eci 1tGe Wei -l/'s.i'I Phone cAt.6-�CS3—�� C.% Fax
State L dt I Contractor Registration# 1Wd ��Ei S-r 0 7 Exp.Date (-)f-U/
(Card mustbeprararte4
PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24"x 36"
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