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Apr 2 10 11 : 36a Midwest Fire Protection I 6123311412 p. 2 <br /> p�r>ticr ao/o --eoa`"2 0 <br /> acdc- <br /> ...f i!'.....,3...,_... . � 'Y,' II .I i!' ry� 4•. .«� , 1.,�,'�, d .,' �''.+.t':7i1: 7..f'Y:'. ... .... (#,-) z -10, <br /> .V�..� ��� <br /> • <br /> ,0 <br /> i k rcr J� , <br /> qf/io <br /> Flaw l7 i r is <br /> ❑ New ❑ Addition Q Remodel ❑ Replace <br /> 1 Mite' *.i ***, .700011P,VirMIS <br /> Site Address: 2380 Wayzata Blvd. <br /> Owner: Harvest Moon Co-op Mailing Address: 2380 Wayzata Blvd. <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/A PP• Midwest Fire Protection, Inc. Contact Person: James A. Kuempel <br /> Address: 324 Harding Street NE State License#: CO21 <br /> City: Minneapolis Zip: 55413 Expiration Date: 6/30/10 <br /> Phone: (612)331-1411 Alternate Phone: <br /> S .... 1 t I g£i IS S',.t'.,. !..tl... ! µS P: .. iAt1 i T .-....!.., . <br /> Ol Commercial—Fire Sprinkler ❑ Residential—Fire Sprinkler <br /> Fire Systems Permit Fire Systems Permit <br /> *Base Price=Contract Price:$ 7,984.00 x.0125 =$ 99.80 (Minimum$35.00) <br /> *Surcharge=Contract Price: $ 7,984.00 x.0005 =$ 3.99 (Minimum $ .50) <br /> *Mail-In Fee(Only On Mail In Applications) .$ 2.00 <br /> *Total Cost of Permit: ..-.$ 105.79 <br /> The ersig•ed herby applies to the City for issuance of a Sprinkler Systems Permit. Applicant agrees <br /> at all system. shall be designed,installed and maintained to N.F.P.A-13,N.F.P.A.-25, Minnesota State <br /> Building Code 4 innesota State Fire Code and Standards, and certifies that all statements made on this <br /> application ar:/mplete,true and correct. <br /> 04/12/10 <br /> Applicant Date <br /> Remi Fpm II <br />