00-100644 City of Federal Way Fire rrevention System Permit #:�a - 100644 - 00 - FP
Conmiunity Development Services
33s3o�st 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: 388 SW 316TH Parcel Number: 072104 9079
Project Description: �SIDENTIAL SPRINKLER SYSTEM
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 oce�pancy 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 agen*t � n=�'�� � ���t����"�� Date: � ���
� � . .
� CffY G BUIIDING DMSION
�� 33530 First Way South
'I �� AY Federal Way,WA 98003
(253)661�000
Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number:
F P s ��F�� - `DO4�i �
PARCEL# Commercial ❑ Residentiall��
SITE LOCATIO
TenanbOwner �'`�" ��"" Phone
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Nature of Worlr���I`- � I �'��� �"`��1��� Project Valuation:$ �` l�
APPLICANT
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Contact Person � '��- Phone �� `)`�J" 7�'��'—Fax � {��^
CONTRACTOR
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Contact Person Phorie ( ���"`� / 7��� Fax a'$ �
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State L&I Contractor Registration# ���� � � � �' ��� Exp.Date 9��3 �-��a
(Card murt be presartc�
PLEASE SUBMIT THREE(3�SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" X 36"
DISCI.AIMER:I oe�tify.unda penalty of pajury,that the vmfamation Cumiahed by me ic fix and corsect W the best of my�owledge and fiathu thet I am aWhooud by the owna otthe above prcmises to pafam t6e wo[Ic
fa which pamit apptication is made.I fiathu agree to save humless the GYty of Fede�al Way u to any daim(mcluding oosts.exPrnus.Nd atWmeys'feea'v�artred in uivatigation and defense of suc6 claim�which may be
made by any person,induding Me undersigned,snd fikd agair�st the City oCFedetay Way b�d only whue such daim erises out of the roliana of the city,'vicluding its offiars and emP�M'xs.upat the�o�wa�Y of tlx
mformation suppfied to tfie dty as a�of this app5wtion.
Owner/Agent �---- Date
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Frs�
Rewsm S/19/99 �