02-100238 CM'OF = •• BUiLDINGDIvisioN..
® 33530 First Way South
�" � t .ost\Ie vi�11-- Federal Way,WA 98003
V0 , (253)661-4000
Fax(253)661-4129 ;.
a:.rt
,_ ti FIRE PROTECTION SYSTEM APPLICATION
1a Federal Way Business License number: _' `-'
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FPS (%=' !OO-0
PARCEL # -Commercial
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Residential ❑ -,
SITE LOCATION jR /./
Tenant/Owner• / -trli1 4:z)e Tf�.tri�r17Lflff __74Phone Z 3 _(c2.6),_ 7�f 7`�
Address/City/State/Zip f�fi •-• (4 t i1 /t�r iNg rt f f" ar J' `l�O Z
Nature of Wor 12d tea,2---, e s 2,-a Te %�' �✓�i Project Valuation.$ / Zt9ErJ
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APPLICANT �, .-'03 A. 4, nTy r r.� ��� , y
Name -" ' ..':,
Address/City/SdZIp //y.
Contact Person ii �/ i phone
25 7.?�/ ,?0?�j Fax d��5"72 3/
CONTRACTOR .
Company Name ` d J,tet
Address/City/St/Zip
Contact Person Phone �l25 Fax y� 9c� ct Fax '7'A 2)9.- v 31
State L&I Contractor Registration# PRO 1 G_Tf��% L Exp.Date 5131f `
(Card must be presented)'
PLEASE SUBMIT THREE (3)SETS OF DRAWINGS AND CUT SHF,ETS,PER NFPA STANDARDS.,
NIAXJM M PLAN S H F;ET STYE 24" x 36"
DISCLAIMER I certify,tel penalty of perjury,that the inform ation famished by me is true and correct to the best of my knowledge and further that!I,o.,1:1:authorized by the owner of theabove premises to perform the wo$
Car which pent t application is made.I oather agrx to save formati the City of Federal Way as to any claim(including costs,expenses and of the cit fees innmed m investigation and detetue of such clarmA which maybe
made by any person,including the undersigned and filed against the Gly of Federay Way but only where such claim arises out of the reliance of the city,includng its o�cets and employees,upon the aataa4y of the
a .F
made information supplied to the city as a part of this application. "_ - _.
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Owner/Agent j/" "
Date
',RrnSEa 5/19/99 z, 2.v ws�0-a N ' `�' ' r�xa ''1`§,T.�",R.