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� EOR CITY USE O:�LY <br /> ` Q���Q ('�r.,�f�l..,...,, • <br /> �� �� ceived: Permit# <br /> (J/�� Un� ►'�G{.s <br /> ( k � <br /> ��d By: Amowrt$_ <br /> J � �'u, � • -- _ <br /> �i � _ �o� � �•�1 <br /> °Kssxo4 <br /> PERMIT <br /> (All C �� � spector and/or I�ire Marshall) <br /> GENERALIN • � �� <br /> 1. You may 1_�a�����d�p the City offices. Applications will <br /> be reviev � « ys• <br /> 2. Permit c� eted. PERMITS ARE NOT <br /> VALID I ������ , NOT BEGIN UNTIL THE <br /> PERMI'1 � <br /> 3. Mechani< ��� Fcations are required for each <br /> heating,� �nditioning installation including <br /> heat loss/ ratings and identification as to <br /> type,mar _i provided. <br /> 4. When any new construction or remodeii�lg is irvoiveu, a separate building per�it r:;zst'�� <br /> obtained. <br /> 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code <br /> requirements. <br /> 6. All work must be inspected(rough-in and final). Call(952)249-4600. <br /> (24-48 hour notice required) <br /> 7. House Heating Test Record must be submitted before final. <br /> � � TYPE OF PERMIT � <br /> � � �� (Check All That A ly) � � � � <br /> ❑ Residential ❑ Commercial(Approval Required) <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> Job Site/ Owner Information: <br /> Site Address:��`��� ca""e"R°ad <br /> Owner: Tom Lowe M1111rig AC�C�1'eSS: 109 Whitegate Lane <br /> Wayzata 55391 <br /> �ity: Zip: <br /> Home Phone: Alternate Phone: (61z)963-3��� <br /> Contractor Information: � � � � �� <br /> Contractor: �'�'oodland stoves&Fireplac� Contact Person: Cinay <br /> 2901 E Franklin Avenue RLI 502812 <br /> Address: State Bond#: <br /> Minneapolis 55406 10/20/07 <br /> City: Zip: Expiration Date: <br /> Phone: (61z)sss-66o6 Alternate Phone: <br /> � OS/26/08 <br /> Insurance—Current: <br /> 1 <br />