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I.1 <br /> -I CITY USE ONLY <br /> • �Oi V2750f OronoRECEIVED Date Recei -' I Permit ,� ' - <br /> O KelleyParkway <br /> Crystal Bay,MN 55323 .t n v Approved By: Amount$: <br /> Phone(952)249-4600 F 5� 9/41/1 <br /> CIT0-MECHANICAL PERMIT <br /> CAKES H Otst (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) <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 /> Residential 0 Commercial(Approval Required) [Backflow Device:0 AVB 0 PVB] <br /> 0 New 0 Additional 0 Repairs 0 Replace <br /> Job Site/Owner Information: <br /> Site Address: 13) 0 Q yo lit D L v1e <br /> Owner: S e 1+1(1 k C _ Mailing Address: sC � <br /> City: Zip: <br /> Home Phone: Alternate Phone: <br /> Contractor Information: ; ; <br /> Contractor: a.o � i L � '11 16-Contact Person: v [-11 Sciiceiy <br /> Address: L- I 'C VL C ifLA State Bond#: Ve676 7-7 <br /> City: .E64 I VVI__ Zip:5f 3 xpiration Date: `Y i ' io <br /> Phone: C;f�2_. 777r `1 Z' Alternate Phone: Z ""1"'T ) —2-10^ 65 <br /> 54 Insurance-Current: \ii P s <br /> 1 <br />