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02-102889 • 4PF • CTTYOF zn RECEIVED BUILDING DIVISION ``O E�L33530 First Way South v v FIy JUL p g 2002 Federal Way,WA 98003 (253)661-4000 Fax(253)661-4129 CI BOF FEDERAL FIRE PROTECTION SYSTEM- CATION Federal Way Business License number:°► ii' —C•000€I) -00 `-13 L FPSt2 - loa ' PARCEL # Commercisars4 Residential 0 SITE LOCATION Tenant/Owner VA-1- ie-- N,t - -CCv\\ - Phone Address/City/State/Zip t3l(1) 1 00 han4PC)1/4-5\f-W(k-i- • Nature of Work 1,'frk`\ -C k (t C (? l n, 1: 3 Project Valuation:$ --7' cii 0 0 APPLICANT 1 ,F7 } Name ,M\�1 V-) .c\V 4 D `-11 nik Address/City/St/Zipp 4`��Q ' --51.--1,fm A`� C ce -Tao • L)Ck �( j Contact Person�='�© L )(7)11� 0 Phone 9 26 [ � Fax CONTRACTOR Company Name + ' i l-h-cr'k. K1.1 -) �V� a i Address/City/St/Zip 1\0 If> 511 1.1) ? e H ac . V.)(-4 '153(1dg" Contact Person 10 re-- " \VO Phone 926, /C, f, (--� Fax State L&I Contractor Registration# 1 a) 1 4 + I Cc'' - , J h OT C/ Exp.Date J/` O2 C) (Card must be presented) PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS. MAXIMUM PLAN SHEET SIZE: 24" x36" 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 Cmcluding 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 LOVi i / Date 0, FPS.Aee Revisre,5/19/99