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issfrztv <br />J0►ats <br />SITE LOCATION <br />CITY OF TUIcWILA <br />FIRE MARSHAL'S OFFICE <br />206-575-4407 <br />FIRE PROTECTION SYSTEMS PERMIT APPLICATION <br />Applies' tines and plans mast be complete in ordea to be accepted for plan inview <br />**PLEASE PRINT** <br />King Co. Assessor's Tax No.: / OZ (17— oo/o <br />Site Address: 2 (Q Soo kceMe(' Met ( Suite Number: 2115. Floor. 2. <br />Tenant Name: 2 U m .k e Z New Tenant? D- Yes 14- No <br />Property Owner's Name: WI ba; / - v d Q,n co - was f e ld <br />Mailing Address: 9/05- <br />-10S o I d O rG (1 r ij (f t S ,/; - 60 7(eo k i e. IL (, 0 0'77 <br />City State zm <br />CONTACT PERSON -if there are questions about the submittal. <br />Name: ' <br />e. 5 51 c, al Ro ( in fi r m Day Telephone: LI 2 S-:`-1 $/766 q <br />Company Name: 6 r n rt re- Pro -•(-cc. bdAI C - <br />Mailing Address: PO 13°x 1 z rr 3 gut( Cil- q 08?.. <br />E -Mail Address: .1e:J5 ► L q C' -Lr o tA n o y A Fax Number: (2S / t/ (9(q j • <br />t (2 s' twila <br />NICET III number 0t7 _/n�fi.t - (oloci <br />- GBusiness L=nu <br />6L 5 -'o c q 5 $I z <br />Total number of newlreloc ated devices or sprinkler heads: •3 <br />Valuation of Project (contractor's bid price): $ 10 0 O <br />Scope of Work (please puvide detailed information): a.,2 ` 0 C a�-{ (� S 64 rhe - <br />2. U m , e Si-bre-Fro/14 <br />PERMIT APPLICATION NOTES <br />Vade of Construction — la all uses, a value of constrpction amount should be entered by the applicant, This fie wilt be <br />reviewed and is subject to possible revision by the Fire Marshal to comply with current fee schedules. <br />Expiration of Plan Review -Every permit issued shall become invalid unless'#he work on the site authorized by such permit <br />is commenced within 180 daps ager its issulance,,or ifthe work authorized on the site by such permit is suspended or <br />abandoned for a period of 180 says ager the time the work is The Fire Marshal is authorized to grant; in .. <br />writing, one or more extensions oftime, for periods not mane than 180 days each. The ertaisioa shall be requested in writing <br />and justifiable cause destated. <br />I HEREBY CERTIFY THAT I HAVE READ ID EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OR WASHINGTON, AND I AM AUTHORIZED TO APPLY <br />FOR THIS PERMIT. <br />BUILDING OWNER OR AUTHORIZED AGENT: <br />Signature:�r ' C �►- ° n Date: 112311 9 <br />Print Name: Cr( -c e MO f/a!1 n TT 1 <br />e: 1/25 L/(/7 ( q <br />Plan Permit App doc V 8rz2/14 <br />'fFD FP Focin 8 ' <br />