02-100239 tfiYOF • .0 BUILDING DIVISION
•
��--� 33530 First Way South
i Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
FIRE PROTECTION Sl , [ni , APPLICATION ,
Federal Way Bus cen�er .. .a / , ti_
l' c 41Ir `
` FPS
PARCEL # Commercial ❑ Residential 0
SITE LOCATION jj /� / /
Tenant/Owner '�TC vel -Glr� L 1/ at r--/L1-1-a'''''''';-/-----r-
J�h �r1�flv'f Phone �5 3 -�o l�/= 7Y 9`�
Address/City/State/Zip l9 on S I/ ,,,,v tS•. iso,,,Ef`C �`�G a y�'O Z
Nature of Worke �4.% e,PrJ i � /✓-t? >�/2 ��r Fi� Project Valuation:$ ` 2�G �j
2J�Tom' �t ,I e- ,./f��r�Ir 6� J J2G`� rre � ��
APPLICANT
Name ,'""I-,`J .. - -'1
--'4'4"-'''...14t`'.. ' � r
Lt1 �i I�L1 ✓/,? � 0 '�Address/City/S%LIp v 7v
Contact Person �y 'Cid� Phone `125 -7,7ti- 0?% Fax L�z ?2y-1c3,'
CONTRACTOR
Company Name
Address/City/St/Zip /< 40 ' - G71.-f'4`111''.� ,trD. - gd'O,3
1c'' / v �7�y 9c��i� �:..U�ZS 71 -love
Contact Person Phone Fax
State L&I Contractor Registration# PR 67-E--c_if C�S z_p Eicp.Date .5/-/ 3
(Card must be presented
PLEASE SUBMIT THREE (3)SETS OF DRAWINGS AND CUT SH F,ETS,PER NFPA STANDARDS.
MAXIMIJM PLAN SN r;FT ST7': 24" X 36"
DISCI AIIrtER.I certify under penalty of perjury,that the nformation famished by me is tnu and coaect.to the best of my knowledge and fiuthe that I am authorized by the ownerof the above premises to perfo®the work
for which permit application is made.I further agree to save hamtless the City of Federal Way as to any claim(mdudmg costs,expenses,and attorneys'fees incrmed in investigation and defense of such claim),which.ay be
lir y person admg gn against ry I, y Way but only where such claim acus out of ti o reliance of the ary,includ ng its off eers and employees upon dte aeerasry of the
made an mcl the undersi ed,and filed the Cr ofFeden
information supplied to the city as a part of this application. _
Keys®5/19/99
/Date Owner/Agent �
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