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01/19/2016 11:10 7635354379 GOLDEN VALLEY HTG PAGE 01/04 <br /> FOR TY US�ONLY" � <br /> City of Orono I /�-� <br /> ���j-� P.O.�ox 66 Datc Rec�iv c� Permit#� V� <br /> �J ?75Q Kelley Parkway <br /> Crystal Bay,MN 55323 Approved y; Amount 5; <br /> Phone(95Z)2q9-4600 Fax(952)249-�1G16 � / / <br /> ���� ��'� CTTX OF OR <br /> �FSF-ioR O�TO—MECHANIC,A►,�,�ERMZ7' <br /> (All Commcrcial pcm�its must be approvcd by thc Building O�cia!or Inspccmr and/or Pirc Maisball) <br /> GENER.AL 1NFORMAT'ION <br /> 1. You may apply fo�n�echanical petmits by�x�,ail or in persa�at the City offiees. ,q,pplieations will <br /> be reviewed and a pem�it will be issued wi2hin two working days, <br /> 2. Pertnit cards will be sent by return mail a�ter a review is completed. PERM['�'S AIZE NO�' <br /> VA,J..JD UNTIL XOIJ RECEIV� A pERM�T, WO�R MUST NO`�'�LGIN UNTIL T[�� <br /> �ERMIT CA,Rb IS POST'ED ON THE JOB SITE <br /> 3- Mechanical Desi�ns—Complete ca�ciilations,details and specificatiozas are required f"or eack� <br /> heacing,ventilation,hurr)zdx�Cat.ion-dehuztlidificatiprl,and air co�adicioning znstallation including <br /> heat Ioss/heat gain calculation,design temperatuXes,cquipment zatings ar�d identification As to <br /> type,rnanufacture�r astd mode�. Data sha��be prescnted on Form provided. <br /> 4. W�,en any new construciaon or rcmodeiit2g is involved,a se�a�ate building�ermit must be <br /> obtai�ed. <br /> 5. All work mvst be donc in accordance with the Uni�orm Meehar�ical Code/State Building Code <br /> requirements. <br /> 6. A!I work must be inspected(rough-in and final). Ca�l(952)249-4600. <br /> (Z4-4R hour notice required) <br /> 7. House F-Ieating rest Record must be submittcd before final. <br /> TX�E OF PERMIT <br /> Chec,�All Tk�at A 1 <br /> `�Residential ��omzzaercial(Appxoval Required) <br /> ❑ New ❑Additional [�Repairs ❑ �ieplaca <br /> 3ob Site/Owner��a:formatiox�: <br /> Site Address: ��/ � � � <br /> Owner: �JV� � Mailiz�g Address: <br /> J G <br /> c��: �. �� z;�: _ � �3 R � _ <br /> Hazz�e Phone; 1`�� �� � � <br /> Alternate Phone: <br /> Co�tractor�format�o�a: <br /> Cont;ractor: (� �� Co�,tact Person_ <br /> 5182 V�ST BROADwAY� <br /> Addz-ess: State Bond#: <br /> ����N r�-53s 2aoo <br /> C�tY� Zap: Expiratioz� Z7ate: <br /> Pk�o�ne: ,Alternate ��one: <br /> ❑ Insuranc�—Cunent: <br /> 1 <br />