01-102769 Hi.; l I. 1 t l i III. I 1:.1.`1,101.. '{,I1 IuI I i I I I
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cn r yrFir Y ,.u �,t" 33530 First Way South
Federal Way,WA 99003
(253)661-4000
Fax(253)661-4125'
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number:
Fps_07 - /a74,2 a2
PARCEL#
Commercial 0 Residential 0
SITE LOCATION Iomara— ea.4.WT f 1 YZ-1 le"IC/ 0701°I
1 ennn towner I N I ��/r UV''
Phone
Address/City/State/Zip ( 4 l 4- S , 394-01 re Ok YO) (. it)it
Natulr,of Work fLI 1/6 `tLPP`�E�»I1"('1 ()LS / �-- �� '
Project Valuation:$ (, Lt�
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APPLICANT ,
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phone4 ?ate- t 1� Fax
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CONTRACTon
Company Name �a
Address/City/SVZip
Contact Person
Phone _- Fax
State],&I Contractor Registration$1 1a/ -X-- 008 Q1-- _ .
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Exp.Date '' %
PLEASE SUBMIT THREE(3)SETS OF'DRAWINGS AND CUT SHEETS, PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIS: 24" x36"
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Owner/Agent a_....4...‘" 7_/Z C,1 f
Pt'4.Mr Date
Rinrrn 7/)9/92