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iruv�:�1�2JD8 Ud:aOa� Fr�m-G9TY OF �kONO +95�249R616 1"-�2A N_Op1���3 F-35� <br /> , �G'"�� �'lty of UrUliU -� � � ���-""p��1�YIS�.'ONL <br /> .. ��`���� P,o.Evx 56 :I�ta i�e�:titir�l:', - �,Pca�it tf' ' 1 , <br /> ` ., :750 I4olley F�kwweiy ' '� <br /> � , � , • � ; , . <br /> cry�ral�eyy.M�ssa2s ��r�v�a$r���� � �'w�wunr� <br /> �aD*+ �9�2)249-a600 �_ , _ <br /> �:I7"�' �������—��C�l�� P� '�'��]' � ] �� �✓ <br /> (Ait Cermrricr�iai permit�musc be approved hy rhe Building a�oiat or Inspecmr andlor Ftre M�rahall) � ' <br /> --_r,.�.�,�___ f � <br /> .(�'.rrENE�AT_.I�'(�RMATICI�`,T ,^ �. _''.�,�:' ����_ C <br /> 1, You may apply far mech$nical pertnit�by rru�il or in person at rhe City offces. A,p�+licatians will <br /> be reviewcd$nd a permit�zrill be issu.�d wir.hin twa working�ys. <br /> 2. p�mit cards wil11�e sraat by return mail after a revie�v is com�sletod, �E�'1'.�+AItE N(�'�' <br /> VALIl)UN'T3L'S�'lJTJ T�'ECENP A PERMIT. W()12�MiJST I'T+[)T]ETE{;iN IC(N�T'II.T� <br /> PEI�t1iq'YT'CARD IS P�ST�D ON T�J'OB SIT�, —. <br /> 3- 1Vlechwnical Dc:uEns-Campleta caiculation�,details and spccii3cat�ons are re:�uired for�eaeh <br /> ber�rin�,ventilarion,�uAudification-dehumidificarioc�,aud a�ir conditionuxg iz�,s►allauon inclnding <br /> heat lasslhcat�ain caleularion,design temperatures,equipment racings and.idr.nrification$s m <br /> YYPC,manufacrurer a�ui rnadel. T)ars�st�ail be present�d an fnrm pmvided_ <br /> 4. VVhat�s�y ncw canstrtaeuon oz mmadeling is inyolved,a separate huiidiug�e�max must bE <br /> obtained. <br /> 5. Ali wox�C nru�t be daue in accordancc wit�the�(inifQrni Mec.f�anical�odelState�Buuldinb God� <br /> req�iremcnts. � <br /> 6. 1�I1 work ma;s�b�s inspected{raugl��and fins�l). Call(�52)249-4600_ <br /> (���nwr naticc required} <br /> 7. Hause I�earing Test itecord must be submicted hefare final_ <br /> T��T'.. . 1'Y�"�OF.�'�,T. , .. ��� �� <br /> ' ��� fC��ck�117'haz A 1. '; _ ',. ;I. , , . . �; <br /> �.esid�ntial (�Cornmereasl(Approual�quired) �, <br /> Q New ❑.Addiuona� [�R� aus <br /> P Replac� <br /> Tot��S�t�I.�?wuer Tr�forxi1�t14n: _�� <br /> � � <br /> aite Ac,1�.ress: � -�--v �_�� `--V�C'_C� /� �. <br /> Ovi+ner:_{'I' � �J"� '� '- <br /> �'�.1�'`r/MailingAddress: ��� �y'---^�.-��,y/iGr <br /> �r �� <br /> c��x: �1�D nJ � �_ �ip: ��-�j , <br /> � <br /> Harne�hone: �,,�_L���� A.Iternat�F�one: �. <br /> Con�r�c,tor�foxmat�on� .' _. �. - �� <br /> , � S�l� . <br /> (�ontra.t:tor: - � Contact�erscan: _!�-��J�C. c.t,�'c t_ <br /> �,.��v � <br /> �aaT��s: 7 0 � a s�t�:$o�a�_ ��s 7��D� <br /> City: �i d�'^> /'���%'i'L�ip:�Y�xpiratic�n Uate: __;�// D ` <br /> �'�'����, � <br /> Pbane: �s,�v „_/_T���Q yy A�tern�te Phone: <br /> ❑ 71'tsa��t�e—�urrent: <br /> 1 �'�,�Gd - <br />