Laserfiche WebLink
t <br /> AUTOMATIC FIRE SPRINKLER PERMITS <br /> p f�ztb <br /> Please;Check One .: <br /> New ❑ Addition ❑ Remodel ❑ Replace <br /> Job Site/`Own6,�information: <br /> Site Address: twfvST- WA I-e 7-ATA �bl-v V 16LV V--4*'l 5" t iii. .+v o $- lJ'5'O <br /> Owner: Mailing Address: <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor.4A.pplicant Information: <br /> Contractor/App.:5E"m0l±�_fi P-T— Q f pT c.;r(Oontact Person: ) w 3 Z- <br /> ,1415 y.ul- I zz S t w <br /> Address: t'd 19 m e- G 5 State License#: —o <br /> City: t-►h'v l:��L-Y twev Zip: g-5-3 9 v Expiration Date: G - 30-- o <br /> Phone: 7 it 3 - o` `i 4 v 3 Alternate Phone: ri/ Z. —7 t• "G 3 S <br /> TYPES OF FIRE SPRINKLER PERMITS <br /> "'Commercial—Fire Sprinkler El Residential—Fire Sprinkler <br /> Fire Systems Permit Fire Systems Permit <br /> *Base Price=Contract Price: $ x.0125 =$ (Minimum$35.00) <br /> *Surcharge=Contract Price: $ x.0005 =$ (Minimum $ .50) <br /> *Mail-In Fee(Only On Mail In Applications) =$ 1.50 <br /> *Total Cost of Permit: =$ <br /> The undersigned herby applies to the City for issuance of a Sprinkler Systems Permit. Applicant agrees <br /> that all systems shall be designed, installed and maintained to N.F.P.A.-13,N.F.P.A.-25,Minnesota State <br /> Building Code,Minnesota State Fire Code and Standards, and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Appl' nt Date <br /> ResetForm <br />