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00-104060City of Federal Way Comnumity Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Fire Prevention System Permit #:00-104060 - 00 - FP Inspection request line: 253.661.4140 (3:30pm cut-off for next day inspections) Project Name: PACIFIC RETAIL Project Address: 33012 PACIFIC S Parcel Number: 797880 0160 Project Description: FPS - Installing underground fire sprinkler connection Owner Applicant Contractor PB INVESTMENTS LTD PARTNERSHIP PACIFIC RETAIL CENTER ACE FIRE PROTECTION SYSTEMS C/O LEAVITT SHAY REAL ESTATE 33002 PACIFIC HWY S 23220 MAPLE VALLEY HWY #12 202 LAKE WASHINGTON BLVD FEDERAL WAY WA 98003 MAPLE VALLEY WA 98038 SEATTLE WA 99122 (425) 432-4401 PERMIT EXPIRES July 9, 2001, IF NO WORK IS STARTED. Permit issued on January 10, 2001 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Wa Owner or agent: Date: a 1 !�'— © / �Z_ CfrYOF CI-fES� �DIWI E PROTECTION SYSTEM APPLICATION Federal Way Business License number: b! /-�v r PARCEL # 7 SITE LOCATION Tenant/Owner Address/City/State/Zip APPLICANT Name Address/City/St/Zip t Contact Person Phone CONTRACTOR BunDING D[MON 33530 First Way South Federal Way, WA 98003 (253) 6614000 Fax (253) 6614129 Mom! Commercial ❑ Residential ❑ Phone Project Valuation: " v� Fax Company Name ■ v u r �- c — �, rev r Address/City/St/Zip it 9�3 Contact Person Phone � Fax Wal 9� r/)Y/ 4 �. � State L & I Contractor Registration # Ex P Date (Card must be presented) PLEASE SUBMIT THREE (3) SETS OF DRAWINGS AND CUT SHEETS, PER NFPA STANDARDS. MAXIMUM PLAN SHEET SIZE: 2411 X 3611 DISCLAIMER 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 authouud by"owner of the sbova prcmisea to perfnimr the work for which pemtit application is made. I further agree to save harmless the City of Federal Way ss to any claim (including costs, vgxnses, and attomeys' &es incurred in imesopdon and deienw of such eis$try, which rosy be made by any person, including the undersigned, and filed against the City of Federay Way but only where such claim arises out of the reliance of the city, including its ofom turd ttnployoa, Upon the aocW lq of taw information supplied to the city as a part ofdris application. Z' 15��' aaw &�& Owner/Agent Date 4 Revrs® 5/19/99