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I c <br /> �- FOR CITY USE ONLY <br /> O�T City of Orono <br /> WP.O.Box 66 RECEIVED Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 553 qq n(� (�� Approved By: Amount$: <br /> Phone(952)249-46Q 1(99L)L2�t� 616 <br /> CLARK)—MECHANICAL PERMIT <br /> (All Commercial permits must be approved by the Building Official or Inspector and/or Fire 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 UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Designs—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 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 Apply) <br /> ® Residential ❑ Commercial(Approval Required) [Backflow Device: ❑AVB ❑ PVB] <br /> ❑ New ❑Additional ❑ Repairs ❑ Replace <br /> Job Site/Owner Information: <br /> Site Address: 85 WEAR LANE N <br /> Owner: MICHAEL SIEVERT Mailing Address: 85 WEAR LA NO <br /> City: LONG LAKE, MN Zip: 55356 <br /> Home Phone: 952-473-4433 Alternate Phone: <br /> Contractor Information: <br /> Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN <br /> Address: 6161 GOLDEN VALLEY RD State Bond#: MB003503 <br /> City: GOLDEN VALLEYZip55422 Expiration Date: 08/21/2018 <br /> Phone: 763-512-2765 Alternate Phone: <br /> OLD REPUBLIC INSURANCE CO <br /> X I WRLC49106257 <br /> Insurance—Current: 01/01/2017-01/01/2018 <br /> 1 <br />