00-103545 r ,, BUILDING DIVISION a
IErIEJZFIL_ � 33530 First Way South
VN) F ,ir� 2 7E f. Federal Way,WA 98003
(253)661-4000
(Y OF FEDERAL WAY
Fax(253)661-4129
BUILDING DEPT.
FIRE PROTECTION SYSTEM PPLICATION
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Federal Way Business License number: 7 jtecri
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PARCEL# ,,
Commercial 0 Residential 0
• SITE LOCATION j.zG 5 t (AAf�r 3
Tenant/Owner Seatac Mall 1928 S. Seatac Mall Federal Way, WA
Phone 253.839.6156
Address/City/State/Zip
Nature of Work fire protection Project Valuation:$4,200.00
APPLICANT
Name Crown Fire Protection, Inc.
Address/City/St/Zip 4932 W. Interurban Blvd. Bothell , WA 98012
Contact Person Mark E. Holey Phone 425.481.7669 Fax 425.481.8695
CONTRACTOR '.a
Company Name same as above
•
Address/City/St/Zip
Contact Person Phone Fax
State L&I Contractor Registration# C ROWN F P044 L L Exp.Date 4.8.01
(Card must be presented)
PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" x 36"
DISCLAIMER I certify,under penalty of perjury,that the information furnished by me is true and couect to the best of my knowledge and further that I am authorized by the owner of the above premises to 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 fees incurred in investigationP��
made by any person,including the undersigned,and filed against the City of Federa Waybut attorneys' and defense of such claim),which may be
information supplied to the city as a part of this application
Y only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the
Ownerent
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Date t' ���'
FFSArr
Ravam 5/19/99