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07201698 Permit File CITY OFDUBLINQ~& V)* I ko Division of Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Office WTFD: (614) 652-3920 FIRE PROTECTION PERMIT APPLICATION i Q'Q Application Date ) Z 17 - 0 7 Bldg. App. #07 AO\x-01 Fire Protection App. # C)4 b I U PROJECT INFORMATION Project Address ` 0 K r Or Ut Project Name Ac (fvi c-r v' Owner/Tenant Contact Name 4(6'.'\t E ~-r Telephone 61 - Ll 0f ' X 7 APPLICANT INFORMATION Fire Protection Contractor SyYl ~~rUr,'~ ~!~k<c tr~r~0'%c" YJ Address uc 0 U. ew Of'. (v li„rln, ~ U~4'~ 4 3,~)CTelephone i l Y - ~Sd - 7 So / State Certificate Number 01 Gi -4 _ Dublin Registration Number 0'70A5 'y Installer Name T m S" m: State Certificate Number Q l o y SCOPE OF WORK (Mark One) New Replace Repair Alteration FIRE DETECTION AND ALARM SYST (Number of each) Detectors t Strobes ®nt Horns Fire Alarm Boxes Other SUPPRESSION SYSTEM (Number of Each) Standpipes On Site Water Piping Sprinkler Heads Limited Area Other FEES FIRE DETECTION OR SUPPRESSION PERMIT PROCESSING FEE 'is 0 LOW VOLTAGE PERMIT (DETECTION ONLY) $30.00 Minimum fee plus $20.00 each 1,000 sq ft or fraction thereof over 1,000 sq ft OUTSIDE PLAN REVIEW SERVICES (EXAMINER'S FEE AS CHARGED) STATE SURCHARGE (3%) TOTAL FEE DUE tel. This permit is granted on the express condition that said work shall in all respects, conform to the ordinances of the City of Dublin and all laws of the State of Ohio regulating construction, installation, repair and alteration, and may be revoked at any time upon violation of any provisions of said laws. This permit conveys no right to open any street, alley or sidewalk or any part thereof, nor to make any connection to a water main. Signature of Licensed Contractor P,~ DATE Print Name ( 5 ~P 17, -V- DATE Z -17 -0 7 FOR OFFICIAL USE ONLY 9~ i e o S ~i'9~v/ GYgs Review Comments: y4l,;Ie TyAka f ro 1051e ©r` 97 9®o 114 /oMIich rig wq1ei-rn-F roo o, . 2I Fig/ra/ lrelej almyr?e e*V Ah syi YPi~ {y /~n~~~P with yf.~/J 'V ~w rPgaiiP„~~ts ~.sa+~i o~s~orF~ A' c-~b~s~ 3~If r rs~i' r • D vide c S ~cr i' e~ r • x r?l~ Fire Department: r/P Ars Date: /-1 ~e o Plans Examiner: Date: /2 2~ Issued by CBO: Date: zo CITY OF DUBLIN Building Standards • 5800 Shier-Rings Road • Dublin, Ohio 43016 Phone: (614) 410-4670 • Inspection Line: (614) 410-4680 Application Number . . . . . 07-00201698 Date 12/20/07 Property Address . . . . . . 6125 MEMORIAL DR Parcel Number: 273-006603 Alternate Address: MUIR SQUARE #7 Tenant nbr, name . . . . . . ACCENT ENERGY DETECTION Application type description FIRE PROTECTION Property owner . . . . . . . MEEDER ASSET MANAGEMENT INC Contractor . . . . . . . . . HSM ELECTRONIC PROTECTION SERV Permit . . . . . . FIRE DETECTION PERMIT Additional desc . . Permit Fee . . . . 60.00 Plan Check Fee .00 Issue Date . . . . ! 741is Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 60.00 Special Notes and Comments CONTACT WASHINGTON TOWNSHIP FIRE PREVENTION FOR INSPECTIONS AT 766-0857 Other Fees . . . . . . . . . SURCHARGE FEE - FIRE 1.80 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 .00 .00 60.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.80 .00 .00 1.80 Grand Total 61.80 .00 .00 61.80 This permit is granted on the express condition that said work shall in all respects, conform to the ordinances of the City of Dublin and all laws of the State of Ohio regulating construction, installation, repair and alteration and may be revoked at any time upon violation of any provisions of law.