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• Fram:COUNTRYSIDE HEATING & COOLING 763 479 2518 10l09l2013 07:25 #823 P.001/003 <br /> FO CI USE ONLY <br /> �O ` ` City of Orono � C7.,� ,�.,—� D���.r Q <br /> ���0 F O Box 66 Aate Rec Pccuca# � O <br /> 2750 KeJlcy pazkway /� n <br /> CrysblBay,MN 55323 Approved$y: Aax�£: ��/ � V <br /> Phme(952)249-4600 Fa�c(952)249�4616 <br /> � � <br /> � � <br /> `�'rESHO�E� CITYOF ORONO—MECHANICAL PERMIT <br /> (AllCorrv�rcialpermss mast be approved bythe Bui]da�;OfS'icmlor Inspectw andJor Fire MazshalA <br /> GENERAL INFORMA7TON <br /> 1. Youmay apply for mechazricalpem�IIs by ma�l or mperson at the Ciy oSces. Applications w�l <br /> be reviewed anci a pem�will be issued withintwo workmg days. <br /> 2. Petmi cards will be serrt by retiuti mail a$er a review is completed. PERMITS ARE NOT <br /> VALID UN1IL YOU RECIIVE A PERMIT. WORK MUST NOT BEGIN iJNTILTHE <br /> PERMIT CARD IS POSTED O1V T�„E JOB SITE. <br /> 3. Mec}ianicalDesiPns—Corr��lete r ilat� ��deta.�7s and specificalinns are requ"ved for each <br /> heatu�g ver�.�iion,hzatmc3iS�ation-de}nurridi�aCion,and aa condrtionu�installation inc�iding <br /> heai loss/heatgaai calcu]atmn,designtemperaYaaes,equq�merrt ratv�gs and iderrtification as to <br /> type,rriazwfadiaer and xrodel Data shallbe preserrted onformprovided. <br /> 4. When arry new constnution or remodelmg is�wlved,A sepacace U�iiMn�permit must be <br /> obtamed. <br /> S. AIl work rrnist be dane�accordazue wit��the U�vfaritiMechazucal Code/St�e Bin7ding Code <br /> requaerre�s. <br /> 6. Allwork rraist be a�spected(rouglra►�d fnial). Call(952)249-4600. <br /> (24-48 hournodce requfred) <br /> 7. House Heat.in�Test Record rm�t be subrrrrtted before fu�1l <br /> TYPE OF PERMiT <br /> (C`l�eck All'Ihat APp2�') : <br /> �Residentiai ❑Corruncrcial(ApprovalRequirec� <br /> ❑New ❑Addrt.ional ❑Repairs �Replace <br /> Job S�e J Owr�r InE'oIInation_ ' <br /> Site Address: �l��Q �r� G—��'`� <br /> Owner: ��2✓e� Ma�7irig Address_ 3�60 -i tc�n �Q �tP <br /> c�y: �c'ov,o z��: 5�3� ! <br /> Home PYwne:OI� 7LJ I• .3�6� Altemate Phone: <br /> Co�lractor ir�'ormation: <br /> Cor�tractor: �� S� ����'-y Cor�act Person: J.�'� /�� '-�✓� `t <br /> Address: 6i5�� t ""' r '�` <br /> s��Bo�a#: �� #��,� 5��/3 <br /> C�.y: ��c/�� /"�l�'�� Zip: i'��n' F�cpuatian Date: � �� ���r <br /> SS� <br /> phone: `�6'3_�7� ���O Alterr�ate Phone: <br /> �y; <br /> �, Iraeurar�e—Cu�rerit:c,�t?L'ZU� J� U(�f�--� �U� <br /> 1-'�;�.��L' . �uu'� '-t-"� �yt(i,vi� 1 �'�I�/C (G��7�.� <br /> , . <br /> . , ��_�________ <br /> � <br />