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<br />. , <br /> <br /> <br />City of <br />Elk --- <br />River-- <br /> <br />Site Address: <br /> <br />PERMIT it O~ [lCo 7 <br /> <br />RECEIVED BY <br />DATE' <br /> <br />CrTY OF ELl\ RLYER <br />BfJlLDfNG DEPARTMENT <br />13065 ORONO PARl<.."WAY <br />PO BOX 490 <br />ELK RIVER. MN 55330 <br />INSPECTION SCHEDULlNG (763) 441-4900 <br /> <br />~Dlq <br /> <br />MECHANICAL. PERMIT APPLICATION <br />/,. s7 lJ1a,,, <;/ SuitelUait <br /> <br />'y <br />b-~ ./ '1r <br />(\, <br /> <br />The Applicant is: <br /> <br />OWIler 0 <br /> <br />Contractor fSj <br /> <br />Other 0 <br /> <br />Property <br />Owner <br /> <br />NA1\'IE 6/J Co ..........,.,,'1. <br />ADDRESS <br /> <br />CITY <br /> <br />TELEPHONE <br /> <br />?In:, t''''S' 5 "'......;;0 I IS /c!7 - <br /> <br />STATE ZIP <br /> <br />Contractor <br /> <br />NANIE D,y'S HFd+:^"f)~fi/C . <br />ADDRESS 6CJ5CJ !rJ!?''''aJr ./tv" <br />CITY .41/"l'r+~:llc STATEJ1?..... ZIP <;;S'3C1( <br />TELEPHONE 74:) -l/9 7 -,;J.'<<I' / UCENSE # <br /> <br />Engineer <br /> <br />. NAME <br />ADDRESS <br />CITY <br />TELEPHONE <br /> <br />STATE ZIP <br /> <br />REG# <br /> <br />. <br /> <br />Townhouse <br />.Institutional <br /> <br />USE TYPE <br /> <br />o CommerciallIndustrial ~ <br />. 0 Other (0) 0 <br /> <br />Single Family 0 <br />Multi.Family 0 <br />. <br /> <br />New 0 <br /> <br />Addition (ADDJO Alter (ALT)O Repair (REP) <br /> <br />Other (0)0 <br /> <br />PLEASE COiY1PLETE OTHER SIDE OF APPLICATION . <br />.. SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRIC, GAS, OR PL!ft.I[BING <br /> <br />-- -'-"'--~-- <br /> <br />-- --...-,--....- <br /> <br />.' ..-..,.....-.----.--..-...- <br /> <br />.. --.---. .-------- ~ ,. <br />