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L � <br /> RECEIV�D <br /> , t 1�,�A / <br /> O City of Orono �IN I � � D R O% TY U Pe�O1NLY �� �./ <br /> � N� Z��6 �� '�D/� �a� <br /> P.O.Box 66 ate ece ��'� <br /> 2750 Kelley Parkw y� <br /> Crystal Bay,MN��N�F QRQN� Approved By: Amount$: (J�� <br /> Phone(952)249-4600 Fa�c(952)249-4616 <br /> y � <br /> � 1 <br /> `�kBSH���G CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercial permits must be approved by the Building Official or Inspecror and/or Fire Mazshall) <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. PERNIITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each <br /> heating,ventilation,humidiftcation-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 A 1 <br /> �Residential ❑Commercial(Approval Required) [Backflow Device:❑ AVB ❑PVB] <br /> ❑New ❑Additional ❑Repairs ❑Replace <br /> Job Site/Owner Information: <br /> Site Address: 2171 SHADYWOOD ROAD <br /> Owner: JACKIE ROBERTSON Mailing Address: 2171 SHADYWOOD RD <br /> City: ORONO Zip; MN <br /> Home Phone: 952-471-9059 Alternate Phone: <br /> Contractor Information: <br /> Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN <br /> AC�C�T'eSS: 6161 GOLDEN VALLEY RD,BLDG A St3te BO11C1#: MB003503 <br /> Ci�: GOLDEN VALLEY Zlp: MN Expiration Date: osi2oi2o�s <br /> Phone: �s3-5�2-2�s5 Alternate Phone: <br /> OLD REPUBLIC INSURANCE C0. <br /> ❑ WORKERS COMP&EMPLOYERS LIABILITY <br /> II1SUraI1Ce—CUI�T�e11t: POLICY#WLRCC48597075 <br /> oni irv oGainn_n�m�nn�as+�mnp�� <br /> 1 <br />