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<br /> 0{--� 0 Addition Remodel 0 Replace i (i �'ay
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<br /> Site Address: 850 LL)1z.et-r et 13 iv4Q . -
<br /> Owner. _ _ hrlailing Address:
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<br /> Home Phone: - Alternate Phone:
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<br /> Contractor/App.: LUQ--1I i fkis—o/l c u,tu i - Contact Pelson: ( '4,(e qu, li
<br /> Address: q kY� /4-kP td State License#: j (0 57
<br /> City: Mililea Zip: `„")32/-i`i Expiration Date:
<br /> Phone: Ul)-Y)).-cE)gq- Alternate_Phone: &)-36.;•49--),97d-- CLQ
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<br /> CpnSlmercial—Fire A1lttnu 0 Commercial-Fitt EXtinc
<br /> Fire Permit Fire - r.Pe alit
<br /> r Contract price:f 6 5S?0 rr 00 *Contract Price:
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<br /> 'herby apply for a Fire Mar Alarm/F.artinguisherPermit and I acknowledge thatthe information above is complete
<br /> arid accurate;that.the work will be in conformance with the Ordinances and Codes required by Minnesota
<br /> State Building Code UBC)or Minnesota State Fite Code(MUFC)shall be installed and maintained as per
<br /> National Fire Protection Association (NEPA) 72 and 72E, 1996 edition, National Electrical Code and
<br /> r,..• the wr �� that I un -isr.a the i not a pamplan.it and work is not to start without a permit;
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