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05/27/2015 15:32 7635354379 GOLDEN VALLEY HTG PAGE 01/04 <br /> . . <br /> FOR CalfY�73E ON1,X <br /> � CILy 0�OrOAO <br /> /� p.0.Sox 66 Aace Reccivcd: Permit N <br /> � �/ 275�Kelley Parkway <br /> CryStel Bay,MN 553Z3 Approved By: At'ltount S: <br /> PhOrte(952)2d9-4600 Pax(952)249�616 <br /> � y ,�� <br /> `��,,��S�Q�,�.��' CITY OF ORUNO—N�ECHAIVICAY.PERMI'�' <br /> (All Commercial permit�must be approvcd by�he Building O�cial or lnspeccor andlor Fi�e Mazshall} <br /> GENERAI.IN�O�tMAT�ON <br /> I <br /> � ' l. Xou may apply for mechanical permits by mail or in person at the City offices• A.pplications wili <br /> , be reviewed and a permit wilt be issued withun two working days. <br /> . 2. Fermit cards will be sent by zetu�n mail after a review is completed. P�R,MI'I'S p,�t.E NOT <br /> � VALiD UNTIL YOU RECEIVE A P�RMI'�. WORK ANST NO'�' �G1N UNTIL THE <br /> PERMTT CARD IS I'OSTED QN THE JOB S1TE. <br /> 3. Mech n�cal Desi�s—Complete caiculations,detaals at�d speci�cations arc rcquircd for each <br /> , i heat�ng,ventilation,humidific�tion-deltumid��cation,and air conditioning�nstaliation including <br /> � heat foss/heat gain calculation,dosi�tcmperatures,equipment ratings and idvnti�ication as to <br /> type,mamu�acturu and model. Data sha1�be presented on form pTovided. <br /> � 4. Whon any new COnst�vctian or remodcling is involved,a separate building permit xnust be <br /> obtair�ed. <br /> 5• A,l�work must be dono in aecordance wat}a the Uniform Meehanieal Code/State Building Code <br /> � rcquircments. <br /> � 6. All work rraust be inspected(rough-in and finai). Call(952)249-4600. <br /> ; (24-48 hoar notice required) <br /> i � 7. House Heatiag Test�tecoxd must be submitted before�in,ai. <br /> ;. TX,P�OF PERMIT <br /> � Check All That A 1 <br /> i �esidential p Commercial(Approval Required) <br /> I ❑New ❑A,ddicio�aal ❑Ite�ai�s ❑Replaee <br /> I <br /> i Job Sate/Owner Information: , <br /> i f �j� � <br /> ' Site Address: / ✓L/ � ��✓ / <br /> i <br /> � Ow�ter:��'��/; ��.C��ti��:�� Mailing Address: �Q��Y�.�i <br /> i <br /> j City: Zip: <br /> � . <br /> Honne�hone: �ll���(�� 1 ��"i�-,)� ,A,�ternate Phone: <br /> iContractor Inforrr�atior�: <br /> I Contractpr: Co�►tac#Person: <br /> � � 81�IA WC. <br /> � Address: �i� � Y 5tate Bond#: <br /> j AL.MN 66�1,2p <br /> ' City: - Q� ��p�ration Date: <br /> i <br /> Phor�e: Alternate Pk�one: <br /> ❑ insrarance�Current: <br /> � � <br /> i <br /> i <br />