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Ia:FW: MyFax Ueiivery From yy"1'1494616 (T9�"L'14�4616) is:�s driisiiy ti �g b-6 <br /> , � � , � , <br /> ��IR�'�1��ltl�'��Y2 I��T�``Yi�N.���`Ik��?U���['(, ., , - <br /> � ' � 7 n{ � = <br /> ?t,.. {� { � � �{�,.#x����AA:�.t Y-U yS Lh ..'7i <br /> ...:: f —rr-'1T"T ,.^'.t^'^^':^�"`w�n'�'^'_ <br /> ,,�A�t'�S`C�L��(r�,�klS'. s i;E,� ��r�,`,`�y`� �_}.?: s�'h—�<.;t.�u,;: <br /> ❑ Ne�v ❑ Addiiion � Remodcl ❑ �1Zepl�ce <br /> .tc,b �;ite f t)�vnel It�f�,i-n-�al�o(i` ;-r;� <br /> '�t.� � �- _ , <br /> Sitc Addr;;`ss: ✓ � � ����G�I���c �f <br /> < ,� j <br /> Owner: �c�,;r. . . !� 3 2 � �v�y^}��� l t� <br /> _ j ` UY`1��r Mailin��lddress: <br /> �l n i�^. C..i��-� (�� <br /> City: �1-'•V��'� Lip: �� �-, <br /> �-tome Phoile: t��'_1_�� `�1�� �Itemate Pho�1e: lr� � r �'l`70 �/�/ <br /> ���t��eir��t�p�It�a�t T►jfc�rtnat�un .. ' � <br /> Contractor/App.: �'�`�"`� �h!u ��� Coi�tact Person: �'�l S��,.u�z?� <br /> Addre�s: ��5 7 �-Y�,�w�4.� �u�$ State License#: �� �� ����� __^ <br /> i3 >S�f'?0 Es iration Date: �`�� " �-V� � <br /> c�ry: lo��.,,�,ti�'o�, z�p: � - �-- <br /> Phoile: �S Z ��( v0�� Altemate I'hone: G� `'��- ��1 ���t`�! <br /> ..�.�.,..,�.,� <br /> C ;- .,>.. ..... : .. ...'; � :'. -'�'��'�S`(��_��:,����t4�'1�'S . ' .. . .;�.�._'_.��_ ., -°.�', <br /> � !� Coinmercial—Fire A11n�i ❑ Con�mercial—�'ire�xtin�uishez� <br /> £ir;Svsteins Pcrciit � Fire Svscenra Pernil <br /> (�"�R'����� � /}7� " (�C�'�.1��� <br /> ' Contr�ct'Price: S� . ��� �= C.ont��et Price:S <br /> ❑ Resic[entiai—Fir�Alarin � <br /> Fire Systems Pzrmit <br /> _����G��;� <br /> � Contrlct P�rice:� <br /> `;�ot:, Pe�rrsits�ar�eajc��aC�t�t?�t�;F��3C'�'�.i'��a�u1v��,E.}�tt��ag�,i��U��.�ne�`u���cT�.c�€Fuouu�il�a�c7�altec£�r`tbe <br /> pe�ii�tt: <br /> I herl�}'apply for a Fire Alarm/E�tin�tiiis[�er Pernii;and I acki7o�vlcd�,e that the ii�fo��nation above ic complete <br /> �and acct�rate;that The work�vill be in conformance�r��t11 the Ordinances and Codes req�iired by Nli�znesota <br /> State Buildinb Code(MCJBC)or Nlinilesota State Fire Code(MUFC)shallbe uistatled and iY�aintained as per <br /> National Fire Pi•otection Association (NFPA) 72 ancl 7�E, 1996 edition, National Eleetrical Code and <br /> manufact«rers requiret�aents;that l�lulderstand this is not a permit and wo��k is not to start without a permit; <br /> and#hat tlie work will be in accorcl �e�vith the a�proved plan. <br /> ��,�l/i`�`-- !L� � �"— S� ''Z r��� <br /> , _ <br />