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11-15—' 16 14:14 FROM— T-410 P0001/0044 F-501 <br /> ��39y��� �000( <br /> FOR CTTY LJSH QNLY <br /> r� City of Orouo +/� ��J <br /> �v�/� P.O.Sox 66 nala Received: �� ��I��rmit# Z��1�' � � l y� <br /> y �./ 2750 C{elley Park�vay <br /> Crystal�lay,MN 55323 Approved By: � Amount$: y� . � <br /> Phone(9>2)249-46Q0 �ax(952)249-4616 <br /> �`��.sk ��G� GITY OF ORON'O—MEC�TANYCA�.PERMIT <br /> f5 H O All Commercial o1Ynlis 01US[Y�A tOVCd tlie Buildin Off-icial or Ins <br /> ( P PP bY € pcctor�nd/or 1'ira MArstiall) <br /> GEN�,R:A�, YN�07tMA�'XQN <br /> 1. You may apply for mechanical permits by mail or in p�rson at the Ciky o�frces. AppliC�ttlons'wiCl <br /> be revitwed and a permit will be iss��ed uvithin tWo working days. <br /> 2. Pe�mit cards will be sent by retuCn mail after a revitw is completed_ P�T2M[TS AT�NOT <br /> 'VAL,Tb IJNTIL YOU RECEIV�A,���iNITT. 'VV'O1tK MUST NOT B�GIN UNTYY�T�� <br /> �'��i1VITT CARD IS POSTED ON TH�.�0�STT�. <br /> 3. Mechaaic�l AesiQns—Cornplete ealciilations,details and speeifieations are required for eaeh <br /> llzating, ventilation,humidific&tion�deht�midi�cation,and air conditioning instalIation including <br /> heat loss/heat gain calciFlation,design temp�ratures,equipment radti�s and identification as Co <br /> type,m�nufackurer and nnodel. bata shall be pr�sented on form provided. <br /> 4. �Vhen any new cotastruction or remodeling is involved,a separate buildin�permit must be <br /> obtaincd. <br /> 5. A11 vvork must be done in accord�nee�'vith the Uniform Mechanical Code/State�uilding Code <br /> requirements. <br /> 6. AlI work must be inspected(rougl�-in and f�nal). Call(952)249-4600. <br /> (2R-4S hour notice requh•ed) <br /> 7. House Heating Test Ttecord mi�st be submitted before�r7al. <br /> TYPE OF pE�MTT <br /> (Checl�Ali That A 1 <br /> ��:esidential ❑COmmetCi�l(Approval Required) <br /> / \ <br /> �New ❑Additiona! ❑Rtpairs ❑Replace <br /> Job Site/Or�vr►ae Tnfo�mation: <br /> Site Addr�ss: � � (iG kJi�1 �J�. <br /> Ow�n.er: l/!�I 1 V�"�..,..__b�u�To+v� �yMailir�Addeess: �?�� ����C /g�c�.���{': <br /> c�ry: �uc�SO"r'� . z��� ��a�� �..._� _ <br /> Home Phone: ������+d �ZZ�S Altemate Phone: <br /> Conti�actpi�7n�01'[r1at�OC1: <br /> Cantractor: FIRESIDE MEARTH & HOM� Contact person: �a�� <br /> Address: ��OR Fairview Ave N S[ate Bond#:g�662656, M6662572, PC662571 <br /> City: Roseville, MN zip.55113 �,Xpiration Date: <br /> Phone: �V���61i3��J73d�p Alternate Phone: <br /> ❑ Ii]SliranC�—�Cltl'PEnE: <br /> � <br />