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12-17-'14 12:43 FROm- T-289 P0001/0004 F-421 <br /> � ' ����i2.� rvt��� <br /> � 11� L� �) ;�o�.cixx,�us,�,oxc;x-;,��:�.,;:;:�;:;• . <br /> Ci ot'4rono �(J `°" ;`,•,;" ::a;;.;;,,; ",:, ..;,;;, ,;i.� ;,;., � <br /> '��A> �' �''� :�.'�:�,r,:�;?�.s;;� '�`C^;""'' r.'.. <br /> V r.o.BoX 66 �/ ;`p�io;�tycsiv�,:� •�;:.... . ;�o�c.;. ��:�'��•�;. ` <br /> � � '. .. � �:;��;���. . .�,: <br /> 27SO Ko11ey Parkway ""�;:�%�' '" ��T <br /> �.i:•°;:.F: :i„i�: ,�i,. ., .„ ,,. <br /> „�• ..i: �'��!' �n '.'.!'�',;' �'�',.?; ,, � <br /> .i^r. .:.;.,.... i. "i'..:Iri..i.`'.', <br /> 7 :'(�:i'.�ly� �,��; <br /> Crystal B�y�MN 553 3 •APP!'OlY,�1�Byt: 'S..;:,f:.;:�Ai1�Otir!t.$:.<`''`'''�:,:;: <br /> Phone(952)249-4600 Fax(9S2)249-4616 � <br /> -•:..�......• .. .:....... ... ....�.:.:...,:...., . . ..:, .. <br /> y �' � <br /> `� ��' CITY OF OY20Np—1VIEC�ANYCAL PERMYT <br /> r�KFs I•1 OQ' � <br /> (All Commcrcia�pennits must bo approved by tha Building Ofllcial or Inspoctor and/or Fire Marshall) <br /> GENEREIL IN'F01�1k1ATION . . � � <br /> � <br /> 1. You may apply far mechanical permits by mail or in person at the City offices. �pplications will � <br /> be rC'Viewed and a permit will bc issucd within two working days. � <br /> Z. Pzrmit cards will be sent by return mail aft�r a review is compleCed. PETtNfIT5 ARE NOT � <br /> 'VA�,yq'U'N'C'YC.'Y0�Ct�C�I��A P�RMIT. WORK M�'ST NOT��G�N Y1NTY�'��� <br /> r��rYr ca�zn ys posr�n orr rH�,�o�sYr�. � <br /> 3. Mechanical Desiens—Complete calculations,details and specifications are required for each � <br /> haating,ventilation,humidi�cation-dehumidification,and air conditionin�installation including <br /> heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to <br /> typc,manufacturcr&nd modcl. Data shall be presentcd on form provided. <br /> 4. When any new construction or rbmodeling is involved,a separate building perrnit must be �_ <br /> obtained. <br /> 5. All work must be done in accordance with the Clniform Itiechanical Code/State Bui d g Code ' <br /> requircmcnts. � �� L F <br /> 6. Alf work must bz Inspected(rouSh-in and final). Call(952)249-4600. 1 c��Q , ^ � � <br /> (Z4-48 hour notieo required) � 0�� <br /> 7. House Heating Test�Lecord must be submitted befaro final. `!�l� <br /> ,:,,. :� ��:, ,, ,� �r <br /> �;,. <br /> .��- <br /> ;�'' �; <br /> �,T�` P�R1VnT��;.��'�:-`;�?`.?'.'''. . <br /> :,,:�` .� � <br /> . ,.. ...... <br /> .. �:,.:.., <br /> , , <br /> ...: , _ <br /> , . ....;:.:.. <br /> : , ..,. ..:.,,:�. <br /> ..,,,.. <br /> .: <br /> . <br /> ,, <br /> . ; <br /> , , , .:' <br /> ,, : .......... .. �' <br /> C e,ck'.All::�'h��:A� G, �;�: :� <br /> ,.,_,/ � �� E <br /> �Q Itesidontial ❑Commercial(Approval Requ3red) .�' � � <br /> �ew [)Additional �Rcpairs ❑R e � <br /> f <br /> <Job�Sit�'%Owner:Infoir�iiat'ro�:.:,�:;;`''�""' . � <br /> E <br /> � l� ��� , � <br /> �s�� C���rc�� � <br /> Site Address: i <br /> - ` <br /> Owner: . � ` � ��� M�ilingAddress: ►�4��� �3�e��. L� <br /> � <br /> s <br /> �\ e <br /> Cit�+: �,�,��1� zip: �'��� ; <br /> Horne Phone:���Q�2.'�3�'��7� Alternate Phone: � <br /> 1 <br /> .C,q,ritraFtqr�Xrifor,�iati�n: ��� � =���' 1 <br /> ,.,.. <br /> ,... <br /> � .;. <br /> .,.: <br /> , .... . „ ,.... <br /> ...,, !:. <br /> ��. <br /> Contractor: W�e��°w �t��M��'ECHNOLOGI�ontact person: �Y 1 � <br /> dba FIR��Ip� H�ARTH & H�ME E <br /> Address: ��� �C��2���' State�ond#; ° <br /> tJ� N ; <br /> CiCy: �OS�VILLE,�� 5�.511� Expiration Date: <br /> phone: �0��'��r"J U'�����i Alternate Phone: <br /> ❑ Ynsurancc—Current: <br /> 1 <br /> I <br /> � <br />