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Nov-05-2001 10:24am From-CITY OF ORONO +9622484616 T-122 P 002/003 F-827 <br /> a �� <br /> 5� <br /> � <br /> CITY O�ORONO APFLYCATYON FOR MECHANICAL PERMIT <br /> Box 66 (2750 Kelley Paskway� <br /> Crystal Bay, MN 55323 <br /> r, .RAL INFORMATIQN <br /> 1. You 'mQy apply for mcchanical permics by n�ail or in person at the Ciry offices. Applicacions will be <br /> reviewed and a permit will be issued wi�hin :'. working days. <br /> 2, Permit cazda will be aent by retura mai]after a�eview is completed. PERMTTS ARE NOT VA.LID UNTIL <br /> YOU RLCETVE A PERMIT. WOR�MUST NOT BEGIN UMTIL 7HE PERMIT ARD iS PQSTF.A ON <br /> THE JOB SITE. <br /> 3. Mecha ical Desi�u - Complote calcula[ioas, details and apecifications are roquited for eac11 hoating, <br /> ventilation, humidification-dehurnid.ification, :�nd air conditioning installation includis�g heat loss/heat gain <br /> calculati�on, design temperatures, equipment r.�tings and ideatificacion as to rype, manufacturer and model. <br /> Data shall be pres�nted on form provided. Td�:ntification of and spec�cations tor waten c�ati.ng equipmenc <br /> shall also be provided. <br /> a. �+�!1?��/ �?i� CGSLS�r'.`�.''t14R CI:!!II��.�.l:�o � i,�1V^a.l?/CL�, E 4Cn3:ar�►.e;ilrlinv nn.+n:r IIll2:�b� 4�1�2.CIL4�. <br /> � �-'v— r -ro r�.�.. <br /> 5. All work must be done in accordance with the 1Jniform Mechxnical Code/State Building Codc requiremcnts. <br /> 6. All work must be inspected (rough-in and fin�1). Call?,a9-4600, 24-hour notice required. <br /> 7. House Heating Test Record must be submitte�l before final. <br /> Instructions Complete all items on this application. Compute the pecmit fee. Sign and date the ceRification. <br /> INCOMPL6TE APPLtCATIONS WILL NOT BE PROCESSED. If you have qoestiona, call 249-4600. <br /> Please check one: New Addition Repair �Replace <br /> �_ Residential Commercial <br /> JOB STTE: � � . °� �; , Zip: <br /> Owner's Name: �`� ,('� l Telephone Number:��;a �: ��.;,� <br /> Mailing Address: l� (`,��V�,� _V`Ai�(%d . City: ���a.�e �Zip: <br /> Contractor's Name: + ��'(;�'� (,r�Yy��v Telephone Number:�������?� ���� <br /> Mailing Address: , `�� � City: , Zip: <br /> SYSTEM D� CRIPTTON <br /> HEATING SYSTEMS <br /> Quantity: I <br /> Make: � �1� � <br /> ModeL• `t. �_1�{ ,-��° <br /> Fuel: ��.�ol_ � C����� <br /> Flue �ize: ' <br /> Input BTUs: ~� % � <br /> Output BTUs: '" �� ��!�'� <br /> CPM: . <br /> COOLING SYSTEMS <br /> Quan�iry: � <br /> Make: <br /> Model: <br /> Tons: <br /> - H. Power <br />