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� . � <br /> ��r�a� ��.-� ����� APPLI CATION FOR <br /> �ec�a����Il PD�e�mi� <br /> GENERAL INF012MATION <br /> 7. Vou .�ay appCy 6ua mechantcal pcnmlta by maiC o1 in pcaeon al Zhe Cily o6d<cea. Wa1Ced-<n pclmita aae aubject to the <br /> yu�lage and hand[ing 6eee ehown beLow. <br /> 1, Ven.�i[ calde will be etnt b� a¢luan mai.0 the aam¢ dai� the appC(eation (e �ecelved. PER�II7S ARE NOT VAL1D 11NT11 YOU <br /> RECEIVE A VCRuIT CARD. UJKK �IUS7 N07 6EGIN UNTJI THE PERIAIT CARD ]S VOS7E0 ON 71(E JOB SI7E. <br /> 3. When any new conetauction oa nemodeCing ib in�oLved, a eepanate Gui[ding peamit muet be obtalned. <br /> I. A U wuak �nuet be done <n accoadance wtth State 6uElding Code tieQuinementa. <br /> i. ACC woak must b¢ inepeeL�C �aough-in and 6inaC). Ca U J13-1351 1/-houa notLct aequined. <br /> 6. Houat Neating 7eat ReconG musl be eubrn<Lted b¢6oae 6tna1 - a¢e atlached. <br /> I N S T RU C T I 0 N S CompLete a�C iteme on Zhia appL,ication. Compute th¢ pelm<t jee. Slgn and date .ihe ceati6<catEon. <br /> )NCOilYLE7E APFLICA7JONS W111 NO7 BE PROCfSSEU. Ij you have questtone, caCG 17)-7357 <br /> WALK- 7N VCRh177S App.�y a,t C�..ty p6U�.ce�s , 1335 Sou�h Bnown Road ( C.ty. Rd. 146 ) <br /> MAIL- IN PERh{ITS Fne.2oae �ee bda�..� .�o • P. U . Box 66 , Cn�a�ta.� Ba�, Mn. 55323 <br /> �: * * * * * * * * * * * * * * v:* * * ** * ** ** � * ***�** ** �** **�:**� *** **** �** ��*** * �:�* *** �*�* * *** <br /> JOB SITE � <br /> Occupancy Type: _ a¢ .cd�nttal co�n.en aL; Othea <br /> Owner ' s Name ,,�� Telephone Number <br /> r <br /> Mailing Address <br /> Contractor ' s Name `�- Telephone Number y�)� � ���, <br /> � r <br /> Mailing Address �- � A� ,�, -Z � �,��, <br /> ******x*********�*******�******************�**************** ****************** <br /> MINIMUH FEE (520.00 per project) <br /> ...�................................�........�...�........�a.....�...�..r.�......�.•..�............•....•............•.•.... <br /> HEATINC SYSTEHS $1,5.QGench unit <br /> VEL � nnt. gas, _ lp 9�s, _ oil, _ clect. <br /> other (spacify if combination burner) <br /> IP. (if more thnn 1 unit per bldg., list cach aeparatcly) <br /> Type Dtuh Input Dr d Namc Model No. <br /> f. a. furnace 17s�'� `(,� r � n,�Z�� /75� <br />