Form Revised July 2019
Permit #
SOUTH KING FIRE & RESCUE
c/o City of Des Moines Building Department
21630 11
th
Avenue South, Suite D
Des Moines, WA 98198
206-870-7576
Fire System Permit Application Form
City of Des Moines
Type of permit
(please check)
*Fill out completely*
Sprinkler _____
Sprinkler
Underground____
Fire Alarm___
Extinguishing
System_______
Medical Gas_____
Other _____
Date of
application
Name of
Job/Project:
Site
Address
Applicant
Applicant
Address
Contact Name
Phone Number
Email Address
Valuation of
Project
The valuation shall include the cost of all drawings, engineering, parts and labor. If an unrealistic low
valuation is submitted, the Fire Marshal shall determine the valuation.
All submittals shall include:
1. Minimum two sets of drawings
2. Cut sheets for all equipment
3. Written scope of work
Fire sprinkler and underground supply applications shall bear a
Washington State Certificate of Competency stamp.
Call Fire Prevention at 253-946-7248 for any questions
Design criteria can be found at www.southkingfire.org
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