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< < �, , <br /> �� FOR 1'USE ONLY <br /> ���� City oP�OO rono ���� �� ���� ��� <br /> P U.Box1 GG Date Recei e Permi:�t <br /> � O 275D F:clley Parkway <br /> ' � Crystal Ray,MN 55323 Approved By: Amount S:� <br /> � Phone[952)249-a60U Fax(952)249-46L6 <br /> 1 .� �1 <br /> �, :. , � <br /> F . <br /> ��'kESHo��"� CI1'Y O�ORUVO—MECII�NICAL PERIVIIT <br /> (A31 Comrnerc:al pernnts mus!bc�ppraved b}'lhe Buildinb Official or Ins�ector ar.cllor Fire Marshull j <br /> GENERAL INFORMATIOi� <br /> �. Y"ou may appl}�fbr mechanical pernnits by mail or in person at the City off`ices Applications will <br /> be reviewed and a permit will be issued within two working days. <br /> 2. Permit cards wi11 be senl by return mail after a rev�ew is completed. PF.R;�t[TS ARE VOT <br /> VALID L'N'TIL YOU�RECEI V�A N�;EZMI�C. WORK MC�ST 10T BEGIN CIh�T1L THE <br /> PERI�IIT CARD IS POSTED ON TH�:J0�3 STI E. <br /> ;. Mec:,anical Desiens='I Complete calculations,derails and specifications are required for each <br /> ___ _ — <br /> hc2ting,ventilation.humidificaEion-dehumidification,and air conditioning installaiion including <br /> heat loss/heat gain cal�culation,design Eem�cratures,eqaipmert ratings a��d identificaYion as to <br /> type,R:anufaclurer andl,model. Data shall be presented on fonr, provided. <br /> 4. When any new construction or remotieiing is involved,a separate building permit must be <br /> obtained. �� <br /> 5. Al1 ti�rork must be done'in accordance wilk�the Unifomi Mechanical Code/State Building Code <br /> rcquiremcnls_ � <br /> 6. All work must be inspected (rough-in and fina'.). Ca�l(952)249-46Q0. <br /> (2�-48�oar nntice requircd) <br /> 7. [-[ouse Heating Test Rccord rnust be submitted Uefore final. <br /> TYPE OF PERMIT <br /> _ {Check A11 That Apply} <br /> �Residential ❑Coinmercial(Approval Required) <br /> l` <br /> �New Q Additional ❑Repairs ❑ Replace <br /> � Job Site/Owner Informa�ion: <br /> Site Address� v���l� �IZ.Y LL/lLl,�� � V-�- {i��� <br /> Uwmer �,���(�� I' ��,�,� MaiIing Address: 1� ^ �- �V(,����(l'( <br /> City� f� I� �� Zip: ����7� <br /> � II <br /> ffome Phone: �o�`1��CJ �1ltemate Phone: <br /> --__.. ...... .__.._.--,'i-'---- <br /> Contractor Information: � <br /> ✓G� �,1,{S . �. ,� A/ <br /> Contractor: (,��5,�,{r� � ��' _���%�(,�ontact Person: �°' � ��� �^ {�7 <br /> � /�� � <br /> Address: �Z�-�.��, '� �L..�G���UU Statc Bond#: / �)�}���� <br /> � <br /> City: ��ad� � Tip_���j Fxpiration Date: �I�,��� <br /> Phone: t4��r ���3'�'�j 1 � Alten�ate Phone: �1-��/-JL-�� <br /> � fr � <br /> � ❑ Insurance-Curren�: V ( _ <br /> I <br /> Z'd 1�9Z-99L-L99I oi�ona�suo��uo�sn�aa}ie� d£Z ZO S L lZ lnf <br />