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02-20-2009
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02-20-2009
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8/23/2022 12:45:40 PM
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MV EDC
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Date
2/20/2009
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• Pri citEW y of • <br /> . . . . <br /> • City.. of NewBRiGHTON Brighton:.:—... 7 • • <br /> N <br /> Fire Permit Application 2008 '• • <br /> the dlyIimt tvrAks For W11.1 <br /> Job Site Address: Unit# Zip <br /> Total Project Valuation: $ The Applicant Is: 0 Owner 0 Contractor <br /> (must include material and labor costs) <br /> . . . . • . •. •,•. . • •• .•. • <br /> • ..-• <br /> 7- • PrOperty OWner • <br /> Name <br /> Address Unit# <br /> City State Zip <br /> Phone ( ) <br /> ' - • .••• .•• • Contrictor • • • <br /> • Name <br /> Address <br /> City fl State_ Zip <br /> Phone ( License# <br /> , <br /> -:'7.EPrOperty Use..• • • Type*of Structure • "• •-.;'•.;:.".;;':-Typ. e‘of WOrk •• • '.• <br /> • 0 Residential <br /> New/Installation <br /> , <br /> O Commercial 0 Sprinkler System <br /> O Fire Extinguishing System ID <br /> 0 Existing/Alteration <br /> O Industrial 0 Flammable/Combustible 0 Repair/Replace <br /> • <br /> 0 Institutional 0 Liquid Storage Tank 0 Removal <br /> Li Public 0 Liquid Dispensing System 0 Abandonment <br /> - 0 Fire Alarm System 0 Tent Erection <br /> O Tent/Canopy 0 Public Fireworks Display <br /> O Fireworks <br /> • <br /> Specific Description of Work to be Completed • • ••.• <br /> • <br /> Permit becomes void if work does not begin within 180 days or if suspended at any time for over 180 days. Permits issued and <br /> inspections made by the City are a public service and do not constitute any representation,guarantee or warranty,either implied or <br /> expressed,to any person as to the condition of the building or conformance to applicable construction codes. <br /> The Undersigned acknowledges that this application has been read and that the above is correct and agrees to comply with all the <br /> ordinances and laws of the City of New Brighton regulating building construction. <br /> 113;71 <br /> • For Office Use Only <br /> Permit# Project# Entered Approved Issued <br />
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