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FOR CITY USE ONLY <br /> �O A rO City of Orono <br /> <y P.O.Box 66 Date Received: Permit# <br /> 2750 Kelley Parkway <br /> Crys[al I3ay,MN 55323 Approved By: Amount$: <br /> Phone(952)249-4600 Fax(952)249-4616 <br /> � > <br /> �y � <br /> F � <br /> �qk�s��o��.�' CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercial permi[s mus[be approved by the Building Ofticial or Inspector and/or Fire Mazshall) <br /> GENERAL INFORMATION <br /> 1. You may apply for mechanical permits by mail 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 return mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Desi�ns—Complete calculations,details and specifications are required for each <br /> heating,ventilation,humidification-dehumidification,and air conditioning installation including <br /> heat loss/heat gain calculation,design temperatures, equipment ratings and identification 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 final). Call(952)249-4600. <br /> (24-48 hour notice required) <br /> 7. House Heating Test Record must be submitted before final. <br /> TYPE OF PERMIT <br /> Check All That A 1 <br /> �Residential ❑ Commercial(Approval Required) <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> Job Site / Owner Information: <br /> Site Address: ( ci� I`; ���-��f��vl��� ��C+�v'�� ��c� <br /> Owner: �dE1r'l ��;��-� � Mailing Address: 1� -�5 �«<;.�,_�.�c-w f p;rl� �') <br /> City: .��,_�_ �.�v_� <<- zip: � � 3�t I <br /> Home Phone: �I`� � " �� � � ` ��� j r 1 Alternate Phone: <br /> Contractor Information: <br /> ` � <br /> Contractor: � e"���- c`,� ����,�1�� �_.r��:�, ����� ContactPerson: ��(c��t\�����i ��v�l�-c.� ,, <br /> ��J <br /> �, �, -�f r�� (� h.��-State Bond #: I� l��C�C�_��C__5 <br /> Address: _el 5d�-`�; �- � � <br /> � c��..s_�"�C-'�1✓ <br /> City: ° � � ' �,K-�.� Zip:`5��1��3 Expiration Date: C-�����`��c',y <br /> � <br /> Phone: ��=-� l�;`� `��{C!�( AlternatePhone: <br /> �' Old Republic Insurance Co. <br /> IriSUT'ariCe—CUI'Terit: Workers Compensation&Employers Liability <br /> 1 Policy#WLR C47875717 <br /> Policy Period 01/O1/2014 to O1/01/2015 <br />