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�.o� � - � � �� i� ��.����� <br /> � ' FIRE ALARM OR KITCHEN EXTINQUISHER PF,RMITS <br /> Please Check One: <br /> � New ❑ Addition ❑ Remodel ❑ Replace <br /> Job Site /Owner Information: <br /> 2445 SHADYWOOD ROAD <br /> Site Address: <br /> BRIDGEWATER BA�K <br /> Owner: Mailing Address: <br /> C��: ORONO Zi 5 5 3 31 <br /> p� <br /> Home Phone: Alternate Phone: <br /> Contractor I Applicant Information: <br /> CITY VIEW ELECTRIC CHRIS MCKAY <br /> Contractor/App.: Contact Person: <br /> Address: 114 5 SNELL ING AVE. N. State License#: EAO 0 0 3 8 4 <br /> ST. PAUL 55108 02/2018 <br /> City: Zip: Expiration Date: <br /> 651-659-9496 612-240-6454 <br /> Phone: Alternate Phone: <br /> TYPES OF FIRE PERMITS <br /> � Commercial -Fire Alarm ❑ Commercial-Fire Extin ug isher <br /> Pirc Systcros Pennit Pire Systems Pcrmit <br /> *(Per UBC) 9 0 2 0 . 0 0 * (Per USC) <br /> *Contract Price: $ * Contract Price: $ <br /> ❑ Residential-Fire Alarm �� L 1'/ `�� �� <br /> i <br /> I�ire Systems Permit � � ��� � <br /> *(Per UBC) � C // ��� �� ' ��� <br /> Contract Price: $ �l � <br /> *Note: Permits are calculated with UBC Fee Schedule;submit application and we will call you with a total fee for the <br /> pennit. <br /> [herby apply for a Fire Alarm/Extinguisher Permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the Ordinances and Codes required by Minnesota <br /> State Building Code(MUBC)or Minnesota State Fire Code(MUFC)shall be installed and maintained as per <br /> National Fire Protection Association (NFPA) 72 and 72E, 1996 edition, National Electrical Code and <br /> manufacturers requirements; that I understand this is not a permit and work is not to start without a permit; <br /> and that the work will be in accordance witl pproved plan. <br /> Chris McKay y G 8/25/16 <br /> Applicant /� Date <br />