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• RTY UPermit#SE ONLY <br /> A T City Z0a:ay.0VO P.O.Bo <br /> Crystal Bay,MN 55323 A iroved B : Amount S: fr7 )Phone(952)249-4600 Fax(952)249-46>1AR 'I ?flhtiV <br /> �<t19 ESH04CITY OF OROISt OR D ICAL PERMIT <br /> ire Marshall) <br /> (All Commercial permits must be approved by thedg Inspector <br /> GENERAL INFORMATION <br /> 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will <br /> be reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Designs—Complete calculations,details and specifications are required for each <br /> heating,ventilation,humidification-dehumidification,and air conditioning installation including <br /> heat loss/heat gain calculation,design temperatures,equipment ratings and identification as to <br /> type,manufacturer and model. Data shall be presented on form provided. <br /> 4. When any new construction or remodeling is involved,a separate building permit must be <br /> obtained. <br /> 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code <br /> requirements. <br /> 6. All 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 OF PERMIT <br /> (Check All That Apply) <br /> xj Residential ❑Commercial(Approval Required) [Backflow Device: ElAVB ❑PVB] <br /> ❑ New ❑Additional ❑Repairs ,eplace <br /> Job Site/Owner Information: <br /> Site Address: g I S c r v✓x7o t LA)Akr <br /> Owner: lV\s k- k A_ Mailing Address: a bav�t• <br /> City: Zip: <br /> Ss3� <br /> Home Phone: °I Sol ,41 1• e 0 Alternate Phone: <br /> Contractor Information: <br /> Contractor: HOME ENERGY CENTER Contact Person: �•A No (tAsz)--/•'� <br /> 2415 ANNAPOLIS LANE N#170 <br /> Address: PLYMOUTH MN 55446 State Bond#: M (3 Oo3 `"f7 <br /> City: Zip: Expiration Date: g •ls.)8 <br /> Phone: 9(-3, y7(e• /19J Alternate Phone: 2' 3 C$d. 7413 0)- <br /> D Insurance—Current: iiiPle7 <br /> 1 <br /> I 0 f 3 <br />