Laserfiche WebLink
�G���-�i� �� <br /> �,;x ��'C` ����� FIRE��AI;�ARM OR�KITCHEN EXTIN U�SHER��P��RMI`S � � <br /> , <br /> . <br /> 'i''��' �6 I�1°�m %� „�� <br /> �,,..,� , k <br /> ,�,� �ti._�,>� As.� . <br /> ,., . , <br /> � 4 {p w <br /> 1��C C�l{� ' ��Z � <br /> ❑ New ❑ Addition Remo� � Replace <br /> � <br /> Job Site/Owner Information: h� <br /> Site Address: � )w)�it ) >11C��C� (,�-�� ��• <br /> Owner: ~!� � l� ' � Mailing Address: <br /> c�ty: ��`L C�,1.,���`�1 z�p: `_�7���j 1 ( <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: .: <br /> Contractor/A ' `" �' ' .(,����ntact Person: + �'V ` <br /> pP• ,��— � �J �- , <br /> Address: �ll� 7 �i���T_��'�S�`te License#: � � �����p <br /> City: �I�����l`�l�1/L� Zip:j����p Expiration Date: <br /> Phone: �J� `��� ,,_'S� Alternate Phone: <br /> i�n��"'',: � �� . . , ,., . , _. <br /> , � � � y ����t�"u������m��+� <br /> z+ �,����,��W�� <br /> G- <br /> ❑ Commercial—Fire Alarm ❑ Commercial— ire Extin ug isher <br /> Fire S stems Permit Fire S stems Permit <br /> * � * ; � �'. C��J <br /> *Contract Price: $ *Contract Price: $��� <br /> ❑ Residential—Fire Alarm <br /> Fire S stems Permit <br /> * � <br /> * Contract Price: $ ,J <br /> , ���»� � <br /> '�Note: , . <br /> permit. <br /> I 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 with the approved plan. <br /> , ,,__ . ..i' , , � <br /> �,� � f� � i ._�� , � 1�,���-�I2..-C� �' <br /> A plicant Dat�— <br />