Laserfiche WebLink
fiziLryli7L 49Y2l SP-c Z33 <br /> FIRE ALARM OR KITCHEN EXTINQUISHER PERMITS <br /> Please Check One: IV1) # /5- ' <br /> New NI Addition Remo el n Replace <br /> Job Site/ON,41-44'® ' attoir I <br /> Site Address: Le 2)5 N 01(1 Cirtj S ti a 9 R <br /> Owner: 0 q)n 0 Schools f QU I! <br /> ailing Address: <br /> City: L-on3 e Zip: 55. 3519 <br /> Home Phone: Alternate Phone: <br /> ContraattrJ Applicant tnforination: r <br /> Contractor/App.: LC Corn'nI '?S Inc Contact Person: Dano B lackstoct <br /> Address: q2-00 J\QSt I cs th St-, State License #: �31 <br /> City: m I n f k IIS Zip: L?j Expiration Date: <br /> Phone: d- g3lJ' T LO - Alternate Phone: <br /> TYPES OF FIRE PERMITS <br /> [ Commercial—Fire Alarm ❑ Commercial—Fire Extinguisher <br /> Fire Systems Permit Fire Systems Permit <br /> *(Per UBC) * (Per UBC) <br /> *Contract Price: $ �71 a I b" *Contract Price: $ <br /> ❑ Residential—Fire Alarm <br /> Fire Systems Permit <br /> *(Per UBC) <br /> *Contract Price: $ <br /> *Note Permits are calculated with UBC Fee Schedule;submit application and we will call you with a total fee for the <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 ws •' wil be 'Ai ac-: ..nce with the approved plan. <br /> �� 1 i /� 3- a _ RECEIVED <br /> ApplicanA' ,,,,ii <br /> Date MAR 0 1 2018 <br /> CITY OF ORONO <br />