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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 09/26l2013 10:21 #816 P.001/003 <br /> ' �'��- c� �.�- ���--- "Zb�.`�l� I b �o <br /> F'OR CI USE ONLY <br /> City of Orono �/ y� <br /> �O�O P.O Box66 DateRoceived� ���^��0�� <br /> J Perwit# <br /> 2750$cliey Parkway <br /> CkystalBay,MN55323 ApprovedBy AmountS: �j5 <br /> Phoae(952)249-4600 Fa�c{952)249-4616 /� 0 <br /> -� �. ! <br /> ti � <br /> ��'kfsxoaE�' CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercial pennits mustbe approvedby the Building Of2ic�al orInspector ancUor Fire MarshaU) <br /> GENERAL INFORMATION <br /> 1. You may apply for mechanical peitnits by mail or in person ai the Ciry offices. Applications will <br /> be reviewed and a perm it will be issued within two working days. <br /> 2. Petmit cards will be sent by return mai]atter areview is completed. PERMITS ARENOT <br /> VALID UNTTL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT C.4RD IS POSTED ON TT3E JOB SITE. <br /> 3. Mechanical llesiaas—Complete calculations,details and spec�cations are reqvired for each <br /> heafing,ventilation,humidif`ication-dehumid�cation,and air conditioning installation including <br /> heat loss/6eaf gain calculation,design temperafures,equipment reYings and identscation as to <br /> type,manufacturer and model. Data shall be presen2ed on fonm provided. <br /> 4. When any new constrvction or remodeling is involved,a separate building petmit must be <br /> obtained. <br /> 5. All worl:must be done in accordarice 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 subm itted before final. <br /> TYPE OF PERMIT <br /> (G7ieck Al1 That A 1 <br /> �]Residential ❑Commercial(Approva3 Required) <br /> � <br /> ❑New �Additional ❑Repairs ❑Replace <br /> Job Site/Owner Inforniation: ' <br /> Site Address: G G�=C �i�� �taS� �I` <br /> Owner: �Qtrf�t.I S �N'V�����T Mailing Address: G n� �l�-�V'� ��'1�- �J F' <br /> City: ^ ?�v� Zip: ��`1 � <br /> Home Phone: / ��- �76, � C�� Alternate Phone: <br /> �Contractor Information: -��� <br /> , (�,,,,� �--� <br /> Contractor:���� c� �<<� Contact 1'erson: �_�`( �t G �l f., <br /> i <br /> Address: �� �� �1��� State Bond#: �� ��S� (� <br /> �CJ <br /> City: V���J�' C� /`� Zip����:xpu�ation Date: cG 3 � Z O/C{ <br /> Phone:7��• Lj��� �6�� Alternate Phone: <br /> � Insurance—Current:�Y�{��- �Q�oC 702� <br /> 1 ��Cc.e-d`i`� �V�-i'Q t�c;,Q�U S <br /> �/ <br />