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11-16-' 16 09:35 FROM- T-415 P0001/0404 F-506 <br /> ������� �'°°O� <br /> o�� T��Sx o�r. , �' <br /> c;ry of oro�io / /� !� <br /> ��Q P.O.Hox 66 Date Rccqi�c :{ � Parmit q � v / <br /> �7SO KGIICy P9fICWAy ' �) ` <br /> Crys�al 13ay,MN 55323 �ipprovcd 13 : Arnount$� �� <br /> Phonc(952)249-4600 Fax(952}249-4616 <br /> �Fl-dK , �4.G� CIT'Y O�'0120N0—MECHAN'YCAL T�ERMYT <br /> E�HO . <br /> (All CominefCial pennus must be approved by the IIuilding Official or Inspector andlor Fi�e Marshall) <br /> GENERAL 1NFORMATION <br /> 1. You ma�appl�for mechanieal permi[s by mail or in person at th�City offices_ Applications will <br /> be revie�ved and a permit�vill be issued�r�ithin cwo wo,ki��g days. <br /> Z. 1'ermit cards will be sent b�return mail after a revie�v is compltted_ PERMITS ARE NOT <br /> �V'AX.XD Y1N�'zL�SCOYJ�CLI'VE A P�TtMTT. '�'VORT�MTJST NOT SEGIN UNTIL THE <br /> �'��21�ITT CARn XS�OST��ON T�T�.�0�SYT�. <br /> 3_ Mechanieal Desi�ns—Complete calculations,details and speci�cafions are re9uired for eacli <br /> heating,ventilation,humidification-dehumidification,and air conditioning installation ineluding <br /> hC8t lOSS/hC&[gAin CR1Cl11RCi0n,design temperatures,cc�uipment ratings�nci ident►fication as to <br /> rype,manufacturer and mode]_ DatA shall be presentcd on form provided. <br /> 4. When an�new construction or remodeling is invol'ved,s soparate building permit must be <br /> obtained. <br /> 5. Alt work rnust be done in Accordance r�vith the Uniform Mechanical Code/State Building Code <br /> requirements. <br /> 6. AlI work must be inspected(rough-in and final)_ Call(952)249-4600. <br /> (24-48 hour notice required) <br /> 7_ HOuse Heating Test Record must be submitted before final. <br /> TYpE OP PERMIT I <br /> (Check All That A 1 � <br /> I <br /> �Residentisl ❑Commcrcial(Approval Requ►red) <br /> �New ❑Add'rtional ❑Repairs ❑Replace <br /> J�ob Site/Owner Tnforrr�ation: <br /> Site Address: 7 J � � ��'G u ��� �1 , <br /> OWner: ��.'� �CYvt�,f LL�i Mailing Address: ����� �� �V'd. /� ,li <br /> ���: Ply�� z�p: �'�`�K� <br /> �o�e��o�e: 7��r ������� Alternate Phone: <br /> Contractor Information: <br /> Contractor: ����SIC7� H�ARTN& NOME Contact person: �a��'� <br /> Addr�ess: 2700 Fairview Ave N State Bond�:gC662656, MB662572, PC6625%1 <br /> CiCy: Roseville, MN zip:55'i 13 �xp�ration Y7ate� <br /> Phone: C�5f��3�'��� Aiternate Phone:' <br /> ❑ Xnsuranee—Cur•rent: <br /> l <br />