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1� �� ��3 <br /> . _ . � <br /> � ��Y OF Oi��NO AIp�LICATION �'OR 11�C�i.4NiCA.]E. P��T' <br /> Sox 66 (2750 Kelley Parkway) <br /> Crystal �ay, N1N 55323 <br /> GENERAL INFORMA�'ION <br /> 1. You may apply for mechan.ical pernuts by mail or in person at the City orfices. Applications will be <br /> reviewed and a permit wi11 be issued within 2 working days. <br /> 2. Perm.it cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID <br /> UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS <br /> POSTED UN THE JOB SITE. <br /> 3. Mechanical DesiQns - Complete calculations, details and specifications are required for each heating, <br /> ventilation, humidification-dehumidification, and air conditioning instailation including heat loss/heat gain <br /> calculation, design[emperacures, equipment ratings and identification as to rype, ma.*�ufacturer and model. <br /> Data shall be presented on form provided. Ideatification of and specifications for water heating equipment <br /> shall aiso be provided. <br /> 4. When any new construction or reriodeting is involve�, a se�a.*ate buii_dir.g permit must be obtained. <br /> 5. All work must be done in accordance with the Uniform ivlechanical CodelState Building Code <br /> requirements. <br /> 6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required. <br /> 7. House Heating Test Record must be submitted before final. <br /> Ins'«ructions Complete all items on this application. Campute the permit fee. Sign and date the certifica[ion. <br /> INCOMPLETE APFLICATIONS WILL NOT BE P120CESSED. If you bave questions, call 473-7357. <br /> Please check one: New Addition Repair x Replace <br /> Residential Commercial <br /> J��7� S�TE: 1 2� o �e,►�c�n C✓e.�.� �i-�r Zip: SS 3 `1 � <br /> �wne�'sl4rame: l�nd��c� S �..��t�-E- '�ele�h�ne?�umb�r: �'Sz -`-(7S-(,�Sy <br /> I'vlailing Address: �2�u irz.�+ �, C.✓-z�z.lL 1�� �ity: ��•�c� Zip: S S"3`� � <br /> C���ract€��'sN�ane: SEL�GWICK HEATING 8 AIR CONDITI��:;��G LLCTelephoneNe�ber: <br /> Id�ailingAddress: 8�10 Wentworth Av�. City: Zip: <br /> il(1f1��00�iS, �� �J�2Q <br /> S�'S'I'�IVI DESC�IT"TIO�1 (952} 881�9000 <br /> HEATING SYSTEMS <br /> puantitv: <br /> Make: <br /> Model: <br /> �ruel: <br /> Flue Size: <br /> Input B3'Us: <br /> Output BTUs: <br /> C�Iv1: <br /> COOLING SYSTEMS <br /> Quantity: � <br /> Make: Lt�n�n ux <br /> Model: �-�5 X f3�5��� <br /> Tons: y <br /> H. Pawer <br /> - ��a� <br /> ►��°�.���o� <br />