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I CABARRUS COUNTY EMERGENC~ SF. RVICF_~ ) <br /> Permit Application : "" ' <br /> <br />To be comple[ed by apph~an! <br /> <br />Applicant: Date: <br />Address: <br /> <br />Telephone: <br /> <br />OWNER: Date: <br />Address: <br /> <br />Telephone: <br />Intended usage: <br /> <br />FLOOR AREA: HEIGHT: <br /> <br />OCCUPANCY CLASSlFICATOIN: <br />[ ] Assembly [ ] Business [ ] Educational [ ] Factory/Industrial <br /> ] Hazardous [ ] Institutional [ ] Mercantile [ ] Residential [ ] Storage <br /> <br />HAZARDOUS MATERIALS: [ ] Yes [ ] No PLANS: <br /> <br />FLOORS: C~)NSTRUCTION TYPE: <br /> <br />[lYes line <br /> <br />I, the unde~slgned, hereby attest that the Iniormatlon given above Is accurate and that I will comply with all applicable regulations and <br />requlfemenls o! the No~h Care na Bud ng Code. Volume V. Fife Pi'event;on end the County of Cebafrus. <br /> <br />FIRE OFF/C/AL DA TE <br /> <br />Send to: CABARRUS COUNTY EMERGENCY SERVICES <br /> 745 CABARRUS AVENUE, WEST, CONCORD, NC 28027. <br /> (704)7i~S-6121 <br /> <br /> <br />