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• 40 775S? <br /> ` • <br /> FIRE ALARM OR KITCHEN EXTINQUISHER PERMITS 4///i/o <br /> Please Check One: <br /> (l New ❑ Addition ❑ Remodel Replace <br /> Job Site/Owner Information: <br /> 770 Old CrystaIl Bay Road North Long Lake,MN 55356 <br /> Site Address: <br /> Orono Student Center 770 Old Crystal Bay Road North <br /> Owner: Mailing Address: <br /> Orono 55356 <br /> City: Zip: <br /> (952)449-8314 Alternate Phone: (612)919-1769 <br /> Home Phone: <br /> Contractor/Applicant Information: <br /> Don King <br /> Contractor/App.: Sonitrol Contact Person: <br /> 1230 Eagan Industrial Rd. Suite 140 TS00827 <br /> Address: State License#: <br /> Eagan 55121 07/31/06 <br /> City: Zip: Expiration Date: <br /> Phone: (651)755-0693 (651)452-0223 <br /> Alternate Phone: <br /> TYPES OF FIRE PERMITS <br /> ✓❑ Commercial—Fire Alarm ❑ Commercial—Fire Extinguisher <br /> Fire Systems Permit Fire Systems Permit <br /> * (Per UBC) *k(Per UBC) <br /> Contract Price:$v( 7 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 work will be in ccordance with the approved plan. <br /> yr /'7 7& <br /> Applicant Date <br /> Reset Form <br />