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<br /> <br />13065 Orono Parkway <br />Elk River, MN 55330 <br /> <br />Site Address: <br /> <br />Prope rty <br />Owner <br /> <br />Contractor <br /> <br /> ~ <br />~ <br />, SHAMROCK GROUP <br /> - <br />,. <br /> <br />Steven Kelly <br /> <br />Office: (612) 824--0745 <br />Pa . 12 . 1 <br />II: (6"12 221~3031 <br />steven@s ami'ockgroup.net <br /> <br />,),00 t(--O Jrft,?J <br /> <br />PERMIT :; <br /> <br />DEPENDAeLE SALES. PARTS AND SERVICE SINCE 19....S DATE: <br />rnll fr..: 800-862-9273. fax: 612-824-1974 <br />2900 - 5th Avenue South. Minneapolis, Minnesota 55408 FETY <br /> <br />of::- ~9-7/6{ <br />,~ <br /><()'t61.A ~ <br /> <br />Other 0 lIAI: <br /> <br />&rl <br /> <br />..- <br />ELK RIVER, MN 5.5330 <br /> <br />lNSPECI'lON SCHEDUUNG (763) 6:15.1060 <br />FAX (763) 635.1090 <br /> <br />MECHA,NICAL PERMIT APPLICATION <br />~5' / n14 I TV Sf red N. vJ- SuitefUnit <br /> <br />The Applicant is: <br /> <br />Owner 0 <br /> <br />Contractor sa <br /> <br />NAME.m L f:.ny'<; of ~ILY\~-e~ <br />ADDRESS CPs-1 WI P.lrJ <:,4.r~'€.+ N.I/J <br />CITY elK 12",~e.. STATE m '-1. ZIP <br />TELEPHONE "':/-k. ~ - [ftll- 0'1&( <br /> <br />~~1JD <br /> <br /> <br /> <br />~ "7~'i 5 <br /> <br />NluvlE C tt-ebo t1 I [' fV11k::..A I"; -e .oS g /PI! ';e~ -6 #t1t1 <br />ADDRESS 2Qoo Sol ~ Si) ,.- <br />CITY~/;, STATE mtJ, ZIP 5; ~L.f 0 <t <br />TELEPHONE~12- f(l~,o74> MECHANICAL BOND # Cop - ,.(')000 S <br />I;JP!-Hr +. <br /> <br /> <br />Engineer <br /> <br />NAME <br />ADDRESS <br />CITY <br />TELEPHONE <br /> <br />STATE ZIP <br />REG# <br /> <br />I <br /> <br />USE TYPE <br /> <br />Single Family 0 <br />Multi-Family n <br /> <br />Townhouse 0 <br />Institutional 0 <br /> <br />CommetciaJjIndustrial 0 <br />Other (0) 0 <br /> <br />New 0 <br /> <br />Adclition (ADD)O Alter (ALTJO Repair (REI' <br /> <br />Othel' (0)0 <br /> <br />PLEASE COMPLETE OTHER SIDE OF APPLICATION <br /> <br />Ii 6 6" SEPAR.'\.TE PERlVIITS A.I(E REQUIRED FOR BUILDING, ELECTRIC, OR PWiVIBING <br />Pone: 7 5. 35,1000 <br />Fax: 763.635.1090 <br /> <br />. . ___._~.C.i.elk-fJY~f!-!!1.:.~~__._ <br /> <br />--.----------..-------- <br /> <br />.--_.._-_..~-,.. <br />