97-104369 9�,�0 '�3��
CITY O���DERAL WAY FI RE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS97-0066
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 12/23/97
Federal Way, WA 98003 BY: FC2
253-661-4000
SITE ADGRESS: 34503 9TH AVE S
PARCEL NO.: 750451-0050
PROJECT DESCRIPTION: fire alarm permit
OWNER = CONTRACTOR LENDER
DR. LEVY MASTER PROTECTION CORP
34503 9TH AVE S 505 PUYALLUP AVE
FEDERAL WAY WA 98003 TACOMA WA 98421
838-9000 253-383-3804
MASTEPC0770S
SPRINKLERS?........:? HOOD & DUCT?.......:? FEES:
# 20NES..........: 0 OTHER.....: SPRINKLER FEE......* $ 45.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:? FPS PRMT ISSUANCE. S 20.00
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES $ 65.00
INSPECTION RECORD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
i �
OWNER OR AGENT ,(G/' � DATE �
fps_prmt 07/01/92
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS9?-0066
33530 F�rst Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 12/23/97
Federal Way, WA 98003 BY: FC2
253-661-�000
SITE ADDRESS: 34503 9°Y`Ii AVE S
PARCEL NO.: 750451�0050
PROJECT DESCRIPTION: fire aYarm permit
OWNER CONTRACTOR LENDER
DR. LEVY MASTER PROTECTION CORP
34503 9TH AVE S 505 PUYALLUP AVE
FEDERAL WAY WA 98003 TACOMA WA 98k21
838-9000 253-383-3804
MASTEPC0770S
SPRINKLERS?........:? HOOD & DUCT?.......o? FEES:
# ZONES..........: 0 OTHER.,...: SPRINKLER FEE......* $ 45.00
�IRE ALARM SYSTEM?.:Y EXTENT OF WORK..,:? FPS PRMT YSSUANCE. S 20.00
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:'�
FIXED SYSTEM?......:?
TOTAL FEES S 65.00
i INSPECTI0I�T RECOR%3
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ALL PEFiM17S EXPIRE 180 DAYS AFTER ISSUANCE YF NO WORK IS STARTED.
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND COR ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE ME7.
,
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OWNER OR AGENT ^1 � Z Z
` DATE
fps_prmt 07/01/92 �
•,�,�:..�'"�, �
C(fYOF G .��.,�,.�`` �� BUILDINGDIVLSION
�� C^ �., `�' 33530 Firat Way South
CLJ Federal Way,WA 98003!
�� � . (206)661-4000
��� � - Fax(206)661-4129
PERMTT#_ �� ` I � � � � �p
FIRE ALARM PERMIT APPLICATION
YY1��� cc� �c� �'(�� �� G� 5-�- �irc,•.�-�cis f-�z;�; -�..5�
7ob Address: ���� � �V� �`='
<S�� c��r) (s�r�> (tir> c���
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Owner: �J( L'GJ(1 m'eC�.l � l�J� Tenant Name: J,)� `=�v U
Contractor: ��vk��,�' ��}�CC�(�r-� �(',()p�Cn.-�-t (�.�TaxParcel#
Addr s: �,N� �lA-i G�,�V �'� �� ��L�YY�G � 1
��� ,�n q
Phone: �F��j 3�y ContractorLicense#:, , I�STC-�C�C.U��=) ExpirationDate: �� `
(Card must be presented)
Owner's Address:�Z�JS � �,'-� � � Phone:
Contact Person:_�'��l�l_'G�-Y V�-L�/ ,�Yl 1 Phone:� �Z ���
�
PI�ASE SUBMiT THREE SETS OF�RE ALARM WIRII�TG DIAGRAMS�DEVICE IACATTON PLANS�
AND CUT SHEETS WiTH TffiS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEI.�INCLUDING SPRINKLER ZONES�IF APPLICABLE:
i '�, ���, 1!-vl
MaxnKunz PLax SrzE=24"x 36" " `�``��"'
I certify under penalty of perjury that the information fumished by me is true and correct to the best of my knowledge and further that I am
authorized by the owner of the above premises to perfortn the work for which permit application is made. I futther agree to save harmless
the city of federal way as to any claim(including costs,expenses,and attorneys'fees incurred 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 ariscs out
of the reliance of the city,including its of�icers and employees,upon the accuracy of the information supplied to the city as a part of this
application.
Owner/ �ent: � Date: �l�� L f
Offi Use y(Please do not write below this line)
Remarks:
City of Federal Way Eledrical
Pemiit shall be posted at all Pennit Fee(Includes First Zone) $30.00
'e atazm installations. Additional Zones(c�$10.00 ea �0
Processing fee 520.00
�ceived Tota1 Fees $ ,�
`o: Fire Deparhnent_'� ,
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�t a���"� � �" �*..�,i��1�Y� Date: