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HomeMy WebLinkAboutA12-0070 ApplicationFIRE ALARM PERMIT Commercia( and Residentia! Fire A{ann shop drawings are re,quired at the time of application �bmittal and must inciuded informatian listed on the 2nd �ge af this form. Applicat3on wfil not be accepted without this infocrnation. � Project Street Add�ess: Offlce Use: � �— � . �`S ���� � ��� �~�S Project #: PRJ12 - 0 5 7 9 j (Numberj (Street) , (Suite #} Name• � 1 �� � Contractor Information: Company: �� s •— Company Address: � �5 � C • ��-l'�� � 14 ��% cay:�-r��s�un � y� t`� sc���: c c� z�p: � j � � Gankact Name: N-�-�Y �+ll�2't .5 � Cantact Phone: `76 S � E-Mai� �v�./ Town of PropeKy I�formation Parcei #: _ ' 'E" (For parcel #, cantact aS visit www.eaglecout�ty.us, ,-- Tenant Name: Ot�� Owner Name: 0 , — � -r�� f.�i'vt'�.. S ��C .• ^ Registration No.: ---�--. (reqeired) �.1. C., Compfete Vaivatian for Fire Alarm PermiL � Fire Alarrn $: L� � V° ' �' Butiding Permit #: B 12 - 0 4 6 7 Alann Permit #: Al 2- 0 0 7 0 Lat #: B1odc # Subdivision: Detailed Scope and Lacation af Work: W4.... 1�.s� �1 f Q1L47' a 5�K3 ti_��� � 3��� i� —2u �z, �.,,``� 2X�'c� f;�.� il,�,�,� �rr„� ,y;,, I � , �- c....�-�--�..�-� ��-- (use additional sheet if necessary) Daes a Monitored Fire Alarm Exist? Does a Spr3nkler System Exist? Work Class: New ( ) Addi6on ( ) Remodel ( �Repair ( ) RetraFit ( ) Other ( ) p� Type of Building: Single-Family ( ) Duplex ( ) Multi-Family ( ) � � Commaraal �f Restaurant ( ) Omer ( ) Date Received: 10/23/2012 2:05pm No ( ) No ( ) O1-Fcb-l0