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...c. a?oio--a66 87 `54/a <br /> FIRE ALARM OR KITCHEN EXTINQUISHER PERMITS <br /> STAT- eflitje — -1-to, <br /> Please Check One: Ckt cif <br /> ❑✓ New ❑ Addition ❑ Remodel Replace "O <br /> , <br /> Job Site/Owner Information: 4 '�nn <br /> \) <br /> 795 Old Crystal Bay Road WV <br /> ) .---SSite Address: <br /> Owner: Orono High School Mailing Address: <br /> Lo,.g Lake - 55356 <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/A pp.. Northland Fire&Security Contact Person: Greg Youngs <br /> Address: 4445 W 77th St State License#: <br /> Minneapolis 55435 ..,,, <br /> City: Zip: Expiration Date: <br /> Phone: (952)893-0905 <br /> Alternate Phone: <br /> TYPES OF FIRE PERMITS u ,. <br /> ❑ Commercial–Fire Alarm 0Commercial–Fire Extinguisher <br /> Fire S stems Permit Fire S stems Permit <br /> * * , tto „) <br /> *Contract Price:$ *Contract Price: $4,000.00 <br /> ❑ Residential–Fire Alarm <br /> Fire SS stems Permit <br /> * <br /> *Contract Price: S <br /> Note: Permits are calculated with UBhedule;submit application and we will call you with a total` "+r 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 /> mar•• acturers requirements;that I understand this is not a permit and work is not to start without a permit; <br /> an. t <br /> t the work will be in accordance with the approved plan. <br /> A��t 41)/Lk - — C')\ ----- ---- <br /> Date r� <br /> Reset Form <br />