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- OR CfI'1'USE ONI,Y <br /> �__,_,_ <br /> -- o c�ty�ro►����� � J���j �/3 � <br /> % ����� P.O.Box 66 � ��-��— Pennit ll <br /> �i'Q �� DateReceiv � <br /> � 50 Kelley Pail.��a�.� <br /> ___- -- <br /> l�'� 1l, r� Crystal E3ay,Mlv 55 '_ n r <br /> 6 � µ ��� PP oved liy: Amounl$: j1Q. <br /> ��t' `,1�"��.V�y�/' Phonc(952)24946(10 I'ax(952)�49-4G1G — — <br /> `�<'Ot�xoe,� <br /> CITY OF OR(;NO–MECHANICAL PCItMIT <br /> (AII Coinmercial permits musl be,�G�nroved by lhe I3uilding Official or Inspec[or and/or I�ire Marshall) <br /> GENERAI., 1NliC�{tPv1A"f'ION — —� <br /> I. You may apply for mechanical permits by mail or in person at the City otficcs. Applications will <br /> be reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by returi�mail after a review is completed. PFRMIT'S nKl3 NO"I' <br /> VALID UNTIL YOU (LECEIVE A PERMIT. WORK MUST NO'I'13ECIN UN'TIL'1'I�IG <br /> YEItMI'1'CAltl) IS POS'CED ON THE J013 S['I'G <br /> 3. Mechanical Desi�ns—Complete calculations,details and spcci(icalions are required ior each <br /> heating,ventilalion,humiditication-dehumidification,and air conditioning installation including <br /> heat loss/heat gain calcu[ation,design temperatures,equipment ratings and identification as to <br /> typc, maniaf�tcl«j•er a�ad rnodel. L�ata 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 rnusl be done in accordance with the Uniform Mechanical Code/State Building Code <br /> requirements. <br /> 6. All �vork must be inspected(rough-in and�final). Call (952)249-4600. <br /> (24-48 hour notice required) <br /> 7. House I-leating Test Record must be submitted before linal. <br /> � �t�v��r or �>�RMIT <br /> Check All That Apply) <br /> � Residenlial ❑ Cotnmercial (Approval Required) <br /> ❑ New �Additional ❑ Repairs �Replace <br /> Job Site/Owner Information: <br /> s�t� nd�t►��:ss: .3�`�`vtJ �j , � ��, ��n e. <br /> Owncr: �1 S� " – Mailing Addiess: ��'1�� ��� � �,��-c�,� � <br /> c��y: �,� ��rC - _ zi�: S � `� ���ll <br /> Home ['hone: niternale Phone: � � �` S S 4'��S�`' <br /> Contractoi� Inforn�at.�on;_ _� <br /> Cont�•actor:ME AIR INC. � Contact Person: � t'`} �-,/ � � �� -�,� � <br /> 16g8�We!come Ave. S. - <br /> Address:prior Lake, MN 55372, State I3ond#: � y S��i 3� <br /> City: Lip: �xpiration Date: � � , � - ,� <br /> METR0-A11�-1NC� <br /> Phone: 952-447-8124 Alternate Ph��nc: �'� �` �}�� _�� �� <br /> �ax: 952-4��-8't�8--- <br /> ❑ Insurance–('�.irrent: <br /> I <br />