00-100641 � � . .
City of Federal Way Fire Prevention System Perm�� #:00 - 100641 - 00 - FP
Community Development Services
33530 ls[Way S Inspection request line: 253.661.4140
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 (3•30pm cut-off for next day inspections)
Project Name: CARLSON(FPS)
Project Address: 400 SW 316TH Parcel Number: 072104 9212
Project Description: FIRE SPRINKLER(FPS)
Owner Applicant Contractor
DONALD CARLSON DONALD CARLSON WASHINGTON FIRE SPRINKLER INC
304 SW 316TH ST 304 SW 316TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 3217 MERIDIAN E
EDGEWOOD WA 98371
PERMIT EXPIRES August 29,2000,IF NO WORK IS STARTED.
Pernut issued on March 2,2000
I hereby certify that the above information is correct and that the construction on the above described propem
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washingt�
the City of Federal Way. ��
Owner or agent: ��� ��� M 1�J Date: O�
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qry oF G BUIIDING DMSION
• EO 33530 First Way South
�� Ay Federal Way,WA 98003
(253)661-4000
Fax(253)661�129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number: � _ C����
FPS -
PARCEL# Commercial ❑ Residenti�
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SITE LOCATION ��C�j/�✓
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Nature of Wor� :� �'� �I,t���<<.(�-� � , `���� . � � Project Valuation:$
� APPLICANT
Name
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� Contact Person Phone \,�.�3�c)`� '-�F-'``�� Fax �`�3 ��,^ �" �
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CONTRACTOR
Company Name � ��
Address/City/St/Zip �l� �� I r �1�-�1•1 c�CG7iw � �CX P� ;v" ��E U (/V�� ���3 ��
Contact Person � Phone(`��✓�f'- ���'�'� Fax���� �/" `����
State L&I Contractor Registration# ���'fi� � r S'� ��' �� Exp.Date (� Z 7�-�7'
(Card must be prerent�
PLEASE SUBMIT THREE(3�SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" X 36"
DISCLAIMER:i certity,unda o[ '�ay,that the infamation fimiished by me is hue and correct W tbe best of my Imowledge and 5utha tlut I am auttwiiud by the owna o[the above pmmises W pafam the wmk
fa which pamit app6cati made. c agree to save hazcnleu We City of Fedaal Way aa to my claien(mclud'mg costs.exPrnus.md ettomeys'fces'vmamed in investigation and defense of such claim),which may be
made by any perwq urc the ' ed,and med agav�st the City of Federay Way bu[only wtKre siuh etaim ui.us out of t6e eeliana ott6e dty,mcludu�g iu officas and anployea,upon the accuracy of the
mfo�mation suppfied W the u a o tlus application.
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Owner/Agent ' Date
FesA.. �
RevtSm S/19/99