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� � F ITY USE ONLY <br /> � � ����� City of Orono � �(� <br /> P.O.Box 66 Date Received: /fPermit#C���� /� <br /> � � 2750 Kcllcy Parkway � <br /> ` Crystal Bay,MN 55323 Approvcd By: __�� Amount$: .> <br /> Phone(952)2�19-�600 Fax(�)?_')_'-}�)-�r,lt, <br /> \?� ` �:i RECEIVED <br /> ��, � . CITY OF ORO�10- MECHANICAL PERMIT <br /> �., ti"f S F{O� / <br /> -____.�'" (All Commcrcal pcnnits must bc appro��cd b��thc I3uildine Ofticial or In,pcctor an���.�h�r��aie+J}Q�� <br /> IY L L `�� <br /> GENERAL INFORMATION <br /> C�"`�Y OF ORONO <br /> 1. You may apply for mechanical permits by mail or in person at the Ciry 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 i-e�ie�v is completed. PERMITS ARE NOT <br /> VAL1D UNTIL YOU RECEIVE A PERMI"C. WORK MUST '�'OT BEG1N UNT1L THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical DesiQns—Complete calculations, details and specifications are required for each <br /> heating, ventilarion,humidification-dehumidification. and air conditioning installation inchiding <br /> heat loss/heat gain calculation,design temperatures,equipment ratings and identi�cation 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 tinal). Call (952)249-4600. <br /> (24-48 hour notice required) <br /> 7. House Heating Test Record must be submitted before fiinal. <br /> TYPE OF PERMIT <br /> (Check All That Apply) <br /> �Residential ❑ Commercial (Approval Requircd) �Backflow Device: ❑ AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Rcpairs ❑ Replace <br /> Job Site/ Owner Information: <br /> Site Address: ��� `��/_��ln/' 1,�(a�(���. <br /> O.�'n=r' �i ���v�rc'�' ?��Iu:li^� Add.ess: �y � � J,-�G�' � �e,�, <br /> city: �n�('ti ti ��,-� zip: SS_� `J/ <br /> Home Phone: Alternate Phone: ��� -ti����J�(�,�j�� <br /> Contractor Information: <br /> Contractor: �L�l,r �`� ��ji,����CContact Person: � �', t:,� �,�..�,,,i <br /> Address: ���.��- �L�f� t`��f lJ�-�tate Bond #: �'Y��S OdS:� �O <br /> City: � � Zip: �"/,��Expiration Date: �� - � - J� <br /> Phone: �j S � � Io�S�� ' � �IC/U Alternate Phone: <br /> � Insurance-Current: ��Q - �_,������„� <br /> 1 " <br /> --� _ � <br /> r.e�;-�.�� G�,��r � ,�,�. <br />