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11-01-' 16 12:02 FROM- T-335 P0001/0004 F-415 <br /> �(D +� �cn� � <br /> ' � (� SS� �� � ��° � ° <br /> Ti tISE ONLY <br /> 3{A �CB� $ + CityofOro / /�gg <br /> � �� �j ��O P.O.�lox 66 �E C E I V E D Aate Rece ed; ' Permit �P� . �/ <br /> �� 5 6 � 27501Gtlley Parkway i <br /> Crystal T3ay,M?�1 55323 Approvad$y. .�Ainount$; `,7'/'L�/ <br /> C'hone(952)24�q�6iQ0 d3aX�99�q�qp-4616 � � • ` " <br /> � �, IYIJY la �C7 <br /> ` <br /> `� ��.�' �����1'O-IVIECY�AiVYCAL pERM�T <br /> t�KES H O (�11 COmm e S ved by the Building O£f-icial or Inspector and/or PjCe M�1'Shali) <br /> C�NE1tAL xN�'ORMATION , . <br /> X. You may apply for rnechanieal permits by mail or in person at the City offices. Appiications will <br /> be reviewed aad a�errnit will be issued within two working days. <br /> 2. Permit cards wall be sent by return mail aftcr a rcview is completed. FERMTTS A�NOT <br /> VALID UNT'II.,'YQU F.�C�Z'V�A P�12MTT. 'WORK MUST NOT BEGIN UN'rIL Tl-T� <br /> PEItbIIT CARn IS pOS'X'��ON'X'T-Y�JOB STTE. <br /> 3. Meehanieal besi�—Complcte calculations,details and speeifications are required for eaeh <br /> heating,'ventilation,humidification-dehumidifefltion,and air conditioning in3tallation including <br /> heat loss/heat gain calculaCion,design tcmperatures,equiprnent ratings and identification as to <br /> type,manufacturer and model. Data shall be presented on form provided. <br /> 4. 'I�hen any tiaw construction or remodelii3g is involved,a separate bu'rlding permit miist be <br /> obtained. <br /> 5. All work mti�st be done in aceordance with tl�c Uniform Mechanical CodeJState}3uilding Code <br /> , rcc�uiroments. <br /> 6. All vvork must bc inspected(rough-in and fin21). Call(952)249-4600. <br /> (24-48 hour notice required) <br /> 7. T�ouse T-Teating Test Record m�ist be submitted before fnai. <br /> T�YPB O�PE12M�CT . <br /> ' (Chec�A(1 That A 1 ) <br /> Residential ❑Commercial(Approval�tequi:red) <br /> New [�Additional ❑Repairs ❑Replace <br /> rob Site/Owner Ynformatioi�: <br /> Site Address: �Yt C Ct-i c� � <br /> Ovvner: �o b��- � .ra�q f-Im�t�t�S��M�iling Address: ��� Z'�`� S� ���� <br /> Ciry: �'C-Pi �1� Zrp: ,�]s�c�j� <br /> Ho�ne�hone: �D��-��qa~ j 2�0 Alcernate�'hone: <br /> Contractor Information: <br /> Contractor: �IRESIDE H�ARTH & HOME �o�fact Person: ��,� <br /> Address: 2700 �airvi�w Av� N State Bond#:��662656, MB662572, PC662571 <br /> City: Roseville, MN zip.55113 Expiration Date. _ <br /> Phone: �Q� ��v�y�� � Alternate Phone: !y�( `^�c�J���� <br /> ❑ Insurance-Current: <br /> 1 <br />