Laserfiche WebLink
i <br /> l <br /> FIRE ALARM OR KITCHEN EXTINQUISHER P TS <br /> � ' In�� � 1� _ ' i��j <br /> �� <br /> ��`UV� 1 '� l�' <br /> Please Check One: � ��� <br /> W G� <br /> '� New ❑ Addition ❑ Remodel 0 Replace � � <br /> Job Site/Owner Information: <br /> Site Address: 3542 SHORELINE DR <br /> CARQUEST <br /> Owner: Mailing Address: 3542 SHORELINE DR <br /> City: NAVARRE Z�p: 55392 <br /> Home Phone: 952-471-0156 Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.: TYCO INTEGRATED SEC Contact Person: _jF'FF FRRNC'H <br /> Address: 2720 ARTHUR ST State License #: TS0021 <br /> City: ROSEVILLE Zip: 55ll3 Expiration Date: MAY 2018 <br /> Phone: F51-5R7-41 5� Alternate Phone: <br /> TYPES OF FIRE PERMITS <br /> �J ����� � �� <br /> � Commercial —Fire Alarm Com�—Fire Extin u�sher <br /> Fire Systems Pennit Fire S}'stcros Pem�it <br /> *(�er UBC) *(�er UBC) <br /> *Contract Price: $ 5582 *Contract Price: $ <br /> ❑ Residential—Fire Alarm <br /> Fire Systems Yennit <br /> * (Per UBC) <br /> " Contract Price: $ <br /> *Note: Permits are calculated with UBC Fee Schedule;submit application and we will�,��J���.�e for the <br /> pennit. <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 wark will be in accordance with the approved plan. <br /> Applicant Date <br />