02-100240 r..Cg eft'" ---Ic fi t,.i 1 ,. s' -}{ t
y 4 ,i 7.1 1
® • � BUILDING DIVISION
1 � 33630 First Way South
Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
ice, �,,�-.-
Federal Way Business Lis .",number t, t'
FPS t 4° 0t-f -
PARCEL # Commercial 0 Residential 0 -
SITE LOCATION % / *f
TenanOwer T t1Lt i--'1 ' Phone Z 3 ��Com/ 7_ 7
Address/City/State/Zip ff1 S( ; vt_( /../,1,1", .. l` 4G Z
Nature of Wor e c?,--3 2,ercs 7�i 7c��i c^e 7`�% �� Project Valuation:$ r
4J. 4s,! rr �J-I: :,,,-*r --q/ L52 /7 /<%'"c- /v
.F+ $
.r'�a31 ^hBF �yt 6 4
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�> � triff ' r ,' x 't I ' s uir ,,> •.' « r .-ti- Fh 'i� z fi?h tg , -:'i,; F, s ' :4 " m -i fiwx. :: s rr ui ` F 3. ir w' 4.x ;, r4 2,w APPLICANT �m 121. s r: c 3 '' ;4- .r ti ', .;',....,:,;,,,::.7 ,;;;:4...
Ta ' .r�'". .,I r k s ''r_:Nme , 'ma, srt.` ' Kr. / / l 3O�G --•. _. ! � O '` ` ''' , ysi, e/z5 77J6�/Address/City%Siilip3 ,y�5 -7X/ C Fax, il/ PhoneContact Person
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CONTRACTOR ,`
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Company Name i9 t - '� ;
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Address/City/SVZtp� � � tri. 1' a (-1`-'(:, '
3
- Contact Person ' Phone I Fax
State L&I Contractor Registration# zG I/(�;` L�' Exp.Date ,f�f
(Card must be presented) . N.� '..
PLEASE SUBNIIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PE .' '. - .-:-' . . .
R NFPA STANDARDS.
11�1s> IMUM PLAN SNF'-ET ST7,�;: 24" x 3 6"
DISCLAIMER I certify,under penalty of perjury,that the information fiimished by me is Lire and coned to the best ofmy Irnowledge and fi¢ther that I am authoazed by the ownerof the above premises to petro®the weds
Cor which pemut application is made.I Gather agtx to save hamdess the City of Federal Way as to any claim(including costs•expertses,and atfomrys'fees nc mad in invest gation and defense of such claim)which maybe
made by any person,including the undersigned,and filed against the City of Federay Way but only where such claim erases out of the reliance of the city,includ ng is officers and employees upon the accuracy of the
information supplied to the city as a part of this application. �7 —7
Owner/Agent -'�" •— Date /
FPSApP _
Revrsen 5/19!99