93-101181 93-
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CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMITPERMIT NO.: /FPS93-0014
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/06/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 1109 S 348TH ST
PARCEL NO.: 202104-9140
PROJECT DESCRIPTION: FIRE ALARM SYSTEM
— CONTRACTOR — LENDER
-RAL WAY COMMUNITY DIALYSIS HECHINGER
1109 S 348TH ST 16627 246TH PL SE
FEDERAL WAY WA 98003 ISSAQUAH WA 9802L7
206-328-3288
HECHIM*144KA
4
SPRINKLERS? •N HOOD & DUCT? •7 FEES:
# ZONES • 0 OTHER •7 BUILDING PERMIT....* $ 70.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK FIRE ALARM FEE * $ 35.00
# ZONES • 0
STANDPIPE? •?
UG FIRE SERVICE? •?
FIXED SYSTEM? .7
TOTAL FEES $ 105.00
411INSPECTION RECORD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CO RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE 2
fps_prmt rmt 07 01 92
P _P � �
RECEIVE-Li
MAY 1 8 1993 • PERMIT # Fr?.
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CITY OF FEDERAL tt
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City of Federal Way
FIRE ALARM PERMIT APPLICATION
' Job Address: f S1 5 V leCd/ (/" 7 9F0 3
(Street) (City) (State) (Zip) (Suite l)
Owner: 57-ZOkovia / /)'j)'2,-,S Tenant Name: `-d/W611 geP9 07tt/7/
Contractor: ki/j, 1a4 /r2C Tax Parcel # ZO2_ / q - 911710
Address: l Z5 3 .d- 7e I /O/
Phone: 3Z 7Z-le Contractor License #:W/15/)14-1282C 3 Expiration Date:
(Card must be presented)
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Owner's Address: n y Syai)A v/L Phon • 9///-2 /7
Contact Person: Z7/02 S- 3 5 3 P-C Phone:
c- 3 2 f — 3 2--.F.1" ("eon7 -T
PLEASE SUBMIT THREE (3) SETS OF FIRE ALARM WIRING DIAGRAMS, DEVICE LOCATION PLANS AND CUT
SHEETS WITH THIS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLER ZONES, IF APPLICABLE:
MAXIMUM PLAN SIZE = 24" x 36"
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,INCLUDING THE UNDERSIGNED,AND FILED AGAINST THE CITY OF
FEDERAL 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 APPUCATION.
Owner/Agent: 2 Date: -5//ff/913
Office Use Only(Please do not write below this linel
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.
CI Received Total Fees $
Route to: Fire Department
Approved by: Date:
CD0491