HomeMy WebLinkAboutF2020-0085 - Permit ApplicationWorksheet for Fire Permit Application o EWER@
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Associated Building Permit# �— ( [ ire Sprinkler rj Fire Alarm 11 Fire Misc
1. Project Address (Not mailing address) Floor Suite No
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Tenant Name #Units j
2. Description of Work
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(— 4. Arch itecUDesigner's Name Last
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I First — — Lic. No. F
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Check Appropriate Box for Applicant/Notification
3. Owner's Name Last
First MTti
Owner's Address
Owner's E-mail Address
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(— 4. Arch itecUDesigner's Name Last
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I First — — Lic. No. F
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Architect/Desi ner's Address
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Architect/Designers_ - ---
E-mail Address
City State
Zip Telephone
17'5. Engineer's Name LastFirst
Lic. No. U
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Engineer's Address
Engineer's E-mail Address
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j 6. Contractor's Name Last- Acnb�
First Lic No. �1���' Class
Contractor's Address
Contractor's E-mail Address
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OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $