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' s FOR CITY USE OVLY <br /> "" —� Ci of Orono <br /> i�4"���'� ty <br /> / P.O.Box 66 Date Received: Permit# <br /> �r��•. �\� 27�0 Kelley Park�vay <br /> {�+ ��� � �ii 'Cp•stal Bay,MN»323 Approved By: Amount$: <br /> `�ti� a}73 ¢+u`,i'� Phone(952)249-4600 Fax(9�2)249-4616 <br /> ��. <br /> iaxo!:/� <br /> �<—=i� - <br /> C �v � ��n � All CommerCI p Y itO�sORO o e�d by tMBu di�ONI'Co LSPE rRaMorTire Marshall) <br /> GENERAL INFORMATION <br /> 1. You may apply for mechanical permits by mai]or in person at the City offices. Applications will <br /> be reviewed and a permit will be issued within two working days. <br /> 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT <br /> VALID LJNTIL YOU RECEIVE A PER��'IIT. WORK NIUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED 0�1 THE JOB SITE. <br /> 3. Nlechanical Desions—Complete calculations.details and specifications are required for each <br /> heating,ventilation,humidification-dehumidification,and air conditioning installation including <br /> heat loss/heat eain calculation,desiQn temperatures,equipment ratings and identification as to <br /> type,manufacturer and modei. Data shall be presented on form provided. <br /> 4. W hen any new construction or remodeling is involved,a separate buildin�permit must be <br /> obtained. <br /> 5. All work must be done in accordance with the Uniform Mechanica( Code/State Building Code <br /> requirements. <br /> 6. All work must be inspected(rou�h-in and final). Call(952)249-4600. <br /> (24-48 hour notice required) <br /> 7. House Heating Test Record must be submired before final. <br /> TYPE OF PERMIT <br /> (Check All That A lv) <br /> �esidential ❑ Commercial (Approval Required) <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> Job Site /Owner Information: <br /> Site Address: f`���U �C�-h� t�c� <br /> Owner: `� \�r" � � �� ' ��'�'�" I�iailinQ Address: �v�C� ���� � <br /> v 'lrlo,.�,-, � � , � <br /> City: �.���►'�G Zip: _ � 55.3 Lc��� <br /> Home Phone: �5 0�' ��°Z' b�� Alternate Phone: <br /> Contractor Information: <br /> CENTERPOINT ENERGY JOANN ZINKEN <br /> Contractor: Contact Person: <br /> 9320 EVERGREEN BL STE B 2201 3346 <br /> Address: State Bond#: <br /> COON RAPIDS 55433 08/20/12 <br /> City: Zip: Expiration Date: <br /> Phone: �763� 785-5404 Alternate Phone: <br /> Travelers Indemnity Company <br /> Workers Compensation&Employers Liability <br /> ❑ Insurance—Current: Policy#TC2K-UB_93498101 <br /> 1 Policy Period Ol/O1/2012-01/O1/2013 <br />