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.-- - 1 <br /> 1 • , -4 SHAMROCK CROUP Steven Kelly <br /> . <br /> • I - .. - ..: - ' Office:(612)824-0745 <br /> Pr.t(Altgf_gb . . <br /> • steven 0 shamrockgroup.net , 1 fy) I,/ A ;f1,a <br /> PERMIT:" c..1\'''-' ( 'LI <br /> City of <br /> Elk -: DEPENDABLE SALES,PARTS AND SERVICE SINCE 1945 DATE: <br /> Toll Free:800-862-9273•Fax:612-824-1974 <br /> Riv-er 2900-5th Avenue South•Minneapolis,Minnesota 55408 FETY • <br /> -- •• <br /> - ELK RIVER,MN 55330 . <br /> 13065 Orono Parkway OK- gq .-7/6(/' <br /> Elk River,MN 55330 INSPECTION SCHEDLTLING(763)65-1060 <br /> FAX(763)635-1090 <br /> MECHANICAL PERMIT APPLICATION <br /> Site Address: GIS I 1)14 1 N) 54-Yea iki. tki- Suite/Unit <br /> - The Applicant is: Owner 0 Contractor 2 Other 0 <br /> frAttlai <br /> n . <br /> Property NAME 1711 Z._eDy'S' 0-( CI V kiv-e■r- • . <br /> • <br /> Owner ADDRESS 6,5 I ler A-in.) S-4-r 4- N• IV <br /> CITY 6k 21 kte P._ STATE rY1 14, ZIP _S-..C3.3o <br /> TELEPHONE qh 1 - W1- to Ye/ <br /> G' P,N..2:-cf7-lis <br /> • - • <br /> NAME C kith°1 I LL PI A'C-A oki e---c 4d0-1g 064'-6'i-aa <br /> Contractor . ADDRESS 2(700 s Aetikt s-b <br /> CITY Ism ..s STATE rkl N.1, ZIP SS-471 0 ( <br /> • TELEPHONE 62- g 2Y.-0?95-MECHANICAL BOND# C131 ^3-00005.153 -00 <br /> NAME <br /> Engineer ADDRESS <br /> • <br /> CITY STATE ZIP <br /> - <br /> • TELEPHONE REG# <br /> . _ <br /> USE TYPE <br /> Single Family 0 Townhouse E •Commercial/Industrial D <br /> Multi-Family. ni Institutional D Other CO) 0 <br /> . . <br /> New 0 Addition(ADD)0 Alter(ALT)0 Repair (REPK Other (0)0 <br /> PLEASE COMPLETE OTHER SIDE OF APPLICATION <br /> Phone: <br /> ** SEPARATE PERIVETS ARE REQUIRED FOR BUILDING, ELECTRIC, OR PLUMBING <br /> 763.635.1000 <br /> Fax:763.635.1090 <br /> www.ci.elk-rivermn.us <br /> ____ <br />