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99-104099 • • • CITY OF . • BUILDING DIVISION • EO 33530 First Way South >Y RYFederal Way,WA 98003 OCT (253)661-4000 Fax(253)661-4129 lid I Y ui 6 c=u=ri ItVH BUIDING DEPT. FIRE PROTECTION SYSTEM APPLICATION Federal Way Business License number: FPSg9 - O 02— ,- PARCEL# Commercial Er Residential 0 SITE LOCATION Tenant/Owner /xiPo eitia) Phone Address/City/State/Zip_ "�� 3//a2 ,6/ -/f/ 61-/ V� Nature of Work )-7/12E-: -U/)/W5'-5l0A) bt) Alp,„9/2) Project Valuation:$ : © APPLICANT Name R .. Address/City/St/Zip e. /00 /2— C, . �'c��/ a/1- .9'- ` Contact Person J/4/ / /`)/, Phone 2/22 Fax D7j Fax 1',747 CONTRACTOR � / Company Name j 1T 9 P Address/City/St/Zip Contact Person Phone Fax State L&I Contractor Registration# Exp.Date (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 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,inc ding 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 th city as a part of this application. Owner/Agent , 4Date FPS.APP REVISED 5/19/99