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�FOR CPCY USE ONLY `.� <br /> -i <br /> City of Orono � � y�, �" '�r 1� " <br /> �, ����� P.O.Box 66 Date Received:Y_��Permit# (,V�� <br /> 2750 Kelley Parkway .!� ,����� �,, ' <br /> ' Crystal Bay,MN 55323 Approved By: i�' y,�J Amount$:�!L�`� <br /> Phone(952)249-4600 Fax(952)249-4616 ����� <br /> � � <br /> � � <br /> � <br /> t'�k£y f{OQ'�G CITY OF ORONO-MECHANICAL PERMIT <br /> ��` (Ali Commercial pemiits must be approved by the Building Official or In,�n.ctor undior Fuc 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 liNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMTT CARD IS POSTED ON THE JOB STTE. <br /> 3. Mechanical Desi�ns—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 Mechanicai 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 finai. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> �Residential ❑Commercial(Approval Required) [Backflow Device: ❑AVB ❑PVB] <br /> , <br /> �New ❑Additional ❑Repairs ❑Replace <br /> Job Site/Owner Information: <br /> Site Address: 2-�SG� �'� 11�A��� �1U`�,�. \� 1�-� � <br /> —� <br /> Owner:�����-1r���� Cj:.�S�"- �jr•��Iailing Address: � '�Z3 S (����' ��� <br /> City: �'�qv�� ����� Zip: �j�3 e I <br /> Home Phone: � l03 �`�5� ' ���1 J Alternate Phone: <br /> Contractor Information: <br /> Contractor: '�,E����►� �►,.�2 S�S�c`�,4,�s Contact Person: 1�A���> ' ��.a�oz-�,,95-��� <br /> Address: `S� �►��'"l�q ll 1E12_A�i�e' IJState Bond#: ;���'S rJ� �3 p, � 3 <br /> City: ��\G-+��+-� Zip:S�l Z-�Expiration Date: `� 1 � �4�� <br /> Phone: ���"2'�U �'�Z�1� Alternate Phone: (�'� 1 � 13`1 - ��1 �S� <br /> ❑ Insurance-Cunent: <br /> 1 <br />