95-100467 �5- iooy6�
CITY OF FEDERAL WAl' FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-0011
335:?0 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 04/17/95
Fecieral Way, WA 98003 BY: FC
661-4000
SITf ADDRESS: 34417 PACIFIC HW7C S
PARC:EL NO.: 202104-9109
PROJECT DESCRIPTION: FPS —� HOOD FIRE PROTECTION SYSTEM
OWNER CONTRACTOR LENDER
KIi�'G TERIYAKI & DELI R&T HOOD SERVICES INC.
344i7 PACIFIC HIGHWAY SOUTH 87 S DAWSON
FEDERAL WAY WA 98003 SEATTLE WA 98134
2215 726-0940
RTHOOD*088QL
SPRINKLERS?........:? HQOD & DUCT?.......:Y FEES:
# 20NES..........: 0 OTHER.....: F1NAL PIAN CHECK...* S 30.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORKee.:? FIRE DEPT fEE......* S 27.50
# ZONES..........: 0 SPRINKLER FEE......* $ 25.00
STANDPIPE?.........:?
UG fIRE SERVICE?...:?
fIXED SYSTEM?......:?
TOTAL FEES S 82.50
INSPECTION RECORD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE iF NO WORK IS STARTED.
I CERTIFI THAT THE I OR ATION FURNISHED BY ME IS TRUE AND RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER Ofi AGENT �� /� �i' � DATE �i/�^ — ��
fps_prmt 07/01/92
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Job Address: ��7' �� � f����/L�/C ��%� ��'i��*���- C(1�'Y"� �,��q sj-�
IStrxU �City1 �St�te1 IZip) ISuite xl
Owner. �i/�C i�1��/ �� � Tenant Name: , �i`�'� ��t��%�`��/
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Contractor: � � �7��� ���ev����� �fc,'�_ Tax Parcel #
,
Address: �� :5�'_ /7f%'1�?x''('� S���ZE ��-��''� l,�'i��`�
Phone: �Z� -�`�Y��' Contractor License #: ,�� T �/ecy�>�cv�s���LExpiration Date: �' �"��-f�S�
IG�d mi.nt be preaented)
Owner's Address: Phone:
Contact Person: ��,�y� ��i�,G/� Phone: �� �' � ������
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 SPRINKLER ZONES, IF APPLICABLE: .---�'
MAXIMUM PLAN SI�E = 24�� X 36��
I CERTiFY UNDER PENACTY OF PERJURY THAT THE INFORMATION FURNISHED'BY ME 1S TRUE AND CORREC7 TO 7HE'BEST
OF MY KNOWLEDGE AND FURTHER THAT 1 AM AUTHORIZED BY THE OWNER OF THE ABOVE'PREMISES TO PERFORM THE
WORK FOR WHICH PERMIT APPUCATION IS MADE. 1 FURTHER`AGREE TO SAVE#1ARMLESS THE CITY'OF FEDERAL WAY AS
TO ANY CLAIM (INCLUDING COSTS,EXPENSES;AND ATTORNEYS'FEES 1NCURRED IN iNVESTIGATION AND DEFENSE.OF
SUCH CLAIM�,WHICH MAY BE MADE BY ANY'PERSON;INCLUDING THE UNDERSIGNED;AND FILED AGAINST THE CITY OF
fEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS OFFICERS AND <'
'EMPCOYEES, UPON THE ACCURACY OF THEINFORMATION SUPPUED TO THE CITY AS'A PART-0F THIS APPLICATION;
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Owner/Agent: �' ' � Date: � � � S
� Office Use Only(P/ease do not write be%w this line)
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Remarks:
Department of Labor and Industries
� Electrical Permit shall be posted Permit Fee (Includes First Zone) S30.00
at aIl fire alarm installations. Additional Zones @ S 10.00 ea.
D Received Total Fees $
Route to: Fire Department
Approved by: Date:
CDOd91