98-101829 FIRE PROTECTION SYSTEM PERMIT P �g� �� � $a9
CITY OF FEDERAL WAY ERMIT NO.: FPS98-0024
33530 First Way South FIRE�EPARTMENT INSPECTION - 253-946-7318 ISSUED: 06/02/98
Federal Way, WA 98003 � g� BY: FC2
253-661-4000 ����� �,,���S� �,ij,�
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SITE ADDRESS: 33702 21ST AVE SW � ����
PARCEL NO.: 242103-9099
PROJECT DESCRIPTION: FPS— INSTALLING FIRE ALARM SYSTEM 2 ZONES
OWNER CONTRACTOR LENDER
WILMINGTON TRUST COMPANY SECURE SERVICES
33702 21ST AVE SW PO BOX 22865
FEDERAL WAY WA 98122 SEATTLE WA 98122
'^'�651-8882 624-1115
SECURSI118JS
SPRINKLERS?........:N HOOD & DUCT?..,....:? FEES:
# ZONES........... 0 OTHER...... FIRE ALARM FEE.....* $ 28.00
FIRE ALARM SYSTEM?.:Y EXTENT Of NORK...:? FPS PRMT ISSUANCE. $ 20.00
# ZONES........,.. 2
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES $ 48,00
INSPECTION RECORD
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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 REQUIREMEfVTS WILL BE MET.
OWNER OR AGENT DATE � �� "�(�
fps_prmt 07/01/92 _
CIfYOF G BUILDINGDIVLSION
� 33530 Fust Way South
```` Q�E�� . Federal Way,WA 98003
V V r"7Y '".s;'"`.,° �% t,b" (206)661-4000
Fax(206)661-4129
C i �t e d ►'V� i� �� �� 1� � C� �� �'� � pE�rr# �PS � � -- O O�f-i
FIRE ALARM PERMIT APPLICATION
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Job Address: � ��`�S� '_``� Q- � � � �v.,7A,v �4.� �O ��
�5�� t�r) tse�> (yr) (s�r�r�
Owner: � ,�� c�.�c1"�On �C�-.S�"' Tenant Name:
Contractor: ���..-�r!Z �2( J �`� Tax Parcel#
Address: — l .� . ����. a� �� � �,P���-�� w�
Phone: ��'{ Contractor License#: Expiration Date:
� I'' (Card must be presented)
1 3oa - C�,SI-�c���
Owner's Address: 1\C'�p �I 1(�c.��J� �-. S�1���+�;.�� hone: .�t�.���
Contact Person: ��.�-M,,r-� '�p�_�-- �� Phone: �o�" �a �t " �� ��
PLEASE SUBMIT THREE SETS OF I�RE ALARM WIRING DIAGRAMS�DEVICE IACATION PLANS�
AND CUT SHEETS W1TH THIS APPLICATION. �
INDICATE NUMBER OF ZONES ON PANEIy INCLUDING SPRINKLER ZONES�IF APPLICABLE:
MnxnKVM PLax S�=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 perform the work for which pennit application is made. I further 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 arises out
of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this
application.
Owner/Ag � -Q,� Date: �^ � � — c2�
�
Office Use Only(Please do not write below this line)
Remarks:
City of Federal Way Electrical
Pennit shall be posted at all Pennit Fee(Includes Fitst Zone) 530.00
fire alarnt iiulallations. Additional Zones�$10.00 ea
Processing fee $20.00
❑ Received Total Fees $
Route to: Fire Depaztment
Approved by: Date:
FYREAIRMAPP
REvrsm 11/I I/96