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CITY OF FEDERAL WAY e�y,ogN,7�
Do /)C� � (�
D
FIRE ALARM PERMIT APPLICATION LDIFi�
( Permit Required For 6 or. More Devices) 4�p�,FYgy,
Job Address 33;F0/ /' 4 k 7 - Suite # 'l�Y
Owner /lW. #/1-0V Tenant Name,�Zj"cc _
CONTRACTOR W(w i5' Y:/f 10I --5 ADDRESS �d ZZ��S .i�f Lfi gyIZ2-
CONT. PHONE 6P;?4-1116 LOW VOLTAGE OR JOURNEYMAN
Elect. Cert . No . S�Qk51 "js
/o 506 ,NE $ -�h # l9 95 �g� - 34 3
Owner's Address /2WILey 49604 Phone 4
�f
CONTACT PERSON 1-0i/I I\mil' Phone 1,9�21- 1115
PLEASE SUBMIT THREE (3) SETS OF FIRE ALARM WIRING DIAGRAMS
DEVICE LOCATION PLANS AND CUT SHEETS WITH THIS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLE ZONES
IF APPLICABLE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST ❑F MY KNOWLEDGE.
OWNER OR AGENT DATE
RECEIVED
JA H 2 2 1991
omr ar
61illwEtqRnr. �v�WAY
I%Dro
Office use only (Please do not write below this line)
REMARKS
Department of Labor and Industries
Electrical Permit shall be posted
at all fire alarm installations.
ROUTE to Fire Dept. '7-U, /
Permit Fee (includes
the First Zone) $30.00
r1 additional zones
@ $10.00 ea. ;v
TOTAL FEES $ � V • G U
Pmma No. /` 6073-FA
Date _ 3 C
2-28-90