94-101899 CITY OF FEDERAL WAY cI�E PRO1'ECTION SYSTEM PERMIT PERMIT NO.: FPS94-0041
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/20/94
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 34719 S 6TH AVE S
PARCEL NO.: 202104-9178
PROJECT DESCRIPTION: FIRE PROTECTION SYSTEM — EVERGREEN EYE CENTER
U/G FIRE LINE FROM THE WATER MAIN TO THE VAULT AND THEN TO THE BIIILDYNG ONLY. �
OWNER CONTRACTOR LENDER
JOHN JARSTAD, DR. MD PATRIOT FIRE PROTECTION, INC.
34509 9TH AVE STE#101 2004 A 48TH AVE. CT. E.
F�^ERAL NAY WA 98003 TACOMA WA 98424
5646 926-2290
PATRIFP099CF
SPRINKLERS?........:Y HOOD & DUCT?.......o? FEES:
# 20NES..........: 1 OTHER.e.e.: BUILDING PERMIT....* $ 15.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? BUILDING PERMIT....* S 72.00
# ZONES..........: 0 FINAL PLAN CHECK...* S 47.00
STANDPIPE?.........:? FIRE DEPT FEEee.,.,* S 59.50
UG FIRE SERVICE?...:?
fIXEO SYSTEM?......:?
TOTAL FEES $ 193.50
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.
�
OWNER OR AGENT DATE - /
fps_prmt 07/01/92
//
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNOWORK
DATE __. _______-BY __ _ -____..- DATE BY -_ DATE BY .___ __ _ _
PLUMBING ROUGH IN WATER L.INE O.K. __.__._.....-__.___-__. MEGHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE _ _BY __ _
O.K. TO ENCLOSE FRAMING iNSU�ATION WALL BOARD AND FIRE WALL '
DATE _____BY _ DATE __BY _ _ DATE __ _- __ BY ___ _
FINAL O.K. TO OGCUPY
DCD PSD FD
DATE _ _ BY
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SENT BY�DEPT. OF COMMUNITY DEV� 9-27-94 � 3�lOPM ; CITY OF FEDERAL WAY� 206 922 6150�� 3
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