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r A <br /> e ` <br /> FIRE ALARM OR KITCHEN EXTINQUISHER PERMITS <br /> Please Check One: <br /> ❑ New ❑ Addition ❑ Remodel Replace <br /> Job Site/Owner Information: <br /> Site Address: WkS' OIA C-r!A61--0-1 (dew Ala'. <br /> Owner: Mailing Address: <br /> City: CDc01-.6 Zip: S3S�o <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: p <br /> rnaX FpW��► <br /> Contractor/App.: rA%o%o% . I-, Ccka Contact Person: COM-S10-Zo�•yo <br /> Address: S75 &J• M-ante k.6k Av4- State License#: (S OOU7 H q <br /> City: Zip: SM G 3 Expiration Date: <br /> Phone: cgs I- Zsl-t$go Alternate Phone: <br /> TYPES OF FIRE PERMITS <br /> Commercial-Fire Alarm ❑ Commercial-Fire Extinauisher <br /> Fire S stems Permit Fire S stems Permit <br /> * er UB * er'UB <br /> *Contract Price:$ 4 Z *Contract Price:$ <br /> ❑ Residential—Fire Alarm <br /> Fire S stems Permit <br /> * er'UB <br /> *Contract Price:$ <br /> Note: Permits are calculated with UBC Fee Schedule;•submit application and we will call youWith a'total fee for th' <br /> eK;A <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 work will be in accordance with the approved plan. <br /> to-30-1'If <br />