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, . FOR IT USE ONLY <br /> City of Orono � -7q <br /> �-��� P.O.Box 66 Date Received: � �JPermit# �l�' /�/� <br /> 2750 Kelley Pazkway Q9s� � <br /> Crystal Bay,MN 55323 Approved By: Amount$: U(.�� <br /> Phone(9���j!249-4600 ���952)249-4616 <br /> � k <br /> �,, ,4 <br /> l•� � <br /> �.�k�s����.`' �„��,� ,CI'�Y,Q�'+,�RONO—MECHANICAL PERMIT <br /> (All Commercial permits must be approved by the Building Official or Inspector 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. PERMITS ARE NOT <br /> VALID UNTII,YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMTT CARD IS POSTED ON THE JOB SITE. <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 Mechanical Code/State Building Code <br /> requirements. <br /> 6. All work must be inspected(rough-in and fmal). 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) <br /> ❑ New ❑Additional ❑ Repairs ❑ Replace <br /> Job Site/ Owner Information: <br /> Site Address: a�/ o� / U� <br /> � , <br /> Owner:�i ��io�,Tr'.��' Mailing Address: iitJ�- Q2'� <br /> c��: z�p: �-s'�9/ <br /> Home Phone: g�� y�/ q�s� Alternate Phone: <br /> Contractor Information: <br /> Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN <br /> Address: 9320 EVERGREEN BL NW State Bond#: MB003503 <br /> SUITE B <br /> City: COON RAPIDS Zip: 55433 Expiration Date: 08/20/20L� <br /> Phone: 763-785-5404 Alternate Phone: <br /> � Old Republic Insurance Co. <br /> IriSUT1riCe—Cu2'I'erit: _ Workers Compensation&Employers Liabiliry <br /> 1 Policy#WLR CA7875717 <br /> Policy Period O1/01/2015 to 01/Ol/2016 <br />