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1 1-23-1 99 �34A�1 FROh1 F I RES I DE CORNER 612 633 �884 P. 2 <br /> �Il c::�� <br /> � RFC�f��.�� N , <br /> -�.� t ��� 2 � ig;3 <br /> �a,. � t <br /> C�Y 4F QRONO APPLICA'I"�O� FOR 1�'�:.C1iAI�'�CAL P�trgL' <br /> Bo� 66 (275Q Kelie}� Pazltway} ' <br /> Crvstal Ba}�, h�1 55323 <br /> f=FAtFR At �F�ORIV�AT�ON <br /> 1. You may apply fo: mecbanical permiu b�� mail or in person at the Cicy offices. Applications K�itI be <br /> Teviewed and a persnit will be issuc,� wiinin 2 workin� days. <br /> ?, permit cards will be stni by rctura mail afl�r a re��ieK� is coznpl�ted. PER�1I7'S ARE NC3T VALID <br /> U1�TIL YOU RECENE A PERMIT. WOR}. MUST �OT �BGTN U1�TIL TH� PE MtT CARD TS <br /> POSTEn ON T'�E JOB ST___. <br /> 3. Mcch�snical esi ns - Compte�c c:al�ulaLions, details and specificacioas are rcquired for each beacin�, <br /> vcntilation,humidificazion-dehumidificatiou, and xir coudiuoniAg installation including hcat losslbeat eain <br /> calculacion, design cemperan�res, equipsnenc zatings and identification as to rype, manufaccurer and model. <br /> D�ta s�all be presented on form gro��ided. Identificaciaa of and specificacions for wa�er heating cquipmenc <br /> shai2 also be pro��ided_ <br /> 4. Whcn azry new consuuction oz reuzodeliag is xnvolved. a separatt buildin�permii must be obcaiued- <br /> 5. All worl: inust bc done is� accordance with thc t3niforrn Mechanical CodetScace Buiiding Codc <br /> requiremcan. <br /> 6. All worl: mus� be inspectcd (rough-in atid fenal). Call 473-7357. 2�-hour notice required. <br /> ?. House �ieatiug Trsi Record mus� be subraitted before fival_ <br /> ln�t� Coznplete all �tems on this application. Comp,l�e ih� �ersnic fee. Si�n aad daie �s� cenification. <br /> XNCOMPLETE APPLICATIONS wILL NOT BE PROCESSED. lf you have questioas, caJl 473-7357. <br /> Please cbeck one: rew Addition Repair Replace ��'�'���'-�'+ <br /> � Residenaal Commercial <br /> sos s�: G ' � �F� - <br /> pwner'sl�ame: [Z}� ,�2.fo�.Ze�N Telephane�iumber: <br /> N�ailing A.ddress: Cit��: Zig: <br /> Contractar's�Tame: TelephaneNumber: <br /> Mailin.gAddress� Cit3�: Zip: <br /> 2T00 N.Fairview Av� <br /> SYSTEM D�SCRIPI'ION 61�����113 <br /> HEATING SYSTEMS <br /> �Quanury: <br /> Malce: w <br /> Ivlodel: �-� <br /> Fuel: !�c t �-� <br /> Flue Size: <br /> Input BTUs: <br /> Ourput BT�,7 s: �a,aa� <br /> CFM: <br /> COOY.XI�IG SYSTEMS <br /> �uantic��: . <br /> Make: <br /> Model: <br /> Tons: <br /> H. Pawer <br />