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• <br /> FIRE ALARM OR KITCHEN EXTINQUISHER PERM <br /> Please Check 4 g 111.11 <br /> New n Addition 9 Remodel Replace <br /> Job Site/Owner Information: <br /> Site Address: `SJ fi C'/J 615 /6/ Bay y ei <br /> Owner: Oro o A L "c�' Mailing Address: <br /> City: Ord",v Zip: SSS 3 Sp <br /> Home Phone: /s.2- ''4y- e$'a'U Alternate Phone: <br /> ontractor/Applicant In ormation <br /> PP : <br /> Contractor/App.:. t.*A1') 6e/#4) Contact Person: ,C eo 8e4aA y <br /> Address: 5 7S" W A...A i/a/n lfv a State License#: TS e2Q 7 9 9 <br /> City: P.A. / Zip: 515/03 Expiration Date: <br /> Phone: 6/ 2 " 3'3L/.$`1,3 7 Alternate Phone: �6 e n k4 J/[f/ Q Su.n, &O u 5. C& <br /> 9 Commercial—Fire Alarm 9 Commercial—Fire Extinguisher <br /> Fire* S stems Permit Fire S stems j it <br /> *Contract Price:$ 7 8; %3 *Contract Price: $ <br /> 9 Residential—Fire Alarm <br /> Fire SS stems Permit <br /> * <br /> *Contract Price:$ <br /> li <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 t ork w' 1 be in accor ance with the approved plan. <br />