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CITY OF ORONo � 6122494616 OS/19/00 12:37 � :02/03 N0:921 <br /> . - . . � � . � � : � : . � . g�o��' <br /> : � C`P1'Y.QF QRQNO . �. AP�'i:ICATtON FUR IVIE�H�NI�AL PFRMl7' <br /> Box b6{2?90 Kellcy Parkway) <br /> � c�y�tar H�y, M1Y 55323 � . <br /> .� �NE1�AI.INNURMw'FrnN � <br /> � l. Yuu ma,y apply.fnr.mtchanic.si}�ertt�iEs bF �a�} nr in prrs�n et�hr City v€�ecs. Applic�tians wiU bc <br /> • 'reviewcel encl n permi�.wit! E>e.iseu�d wfthin ; wocltinQ da7s- <br /> 2. Permi�card�wilt he��t by rtturn nmil after a rtviev►�.is�mi. �.�ivi3�S ARE iVOT VA�,tI?UNTIL <br /> Y�U R�CFIVI:A P�RMIT. WOItK M ��4T-t��T B� 1N UNTIt'INE PF,;�,,� ARp J,�p�STAD ON <br /> � TH'�JOf3 SllT� . : <br /> �3. ` . MccllrttliCA1 I?�siQns - (:i»plr.a; cnlc�ilaiioac, drtails and specifuaciuns .ire rtquired far euch hr.uting, <br /> vcntils[lan,liwmidiflcaliun�huiaiilit'�tuou,and air conditjaning ia�tnll�clnn�c��din� hrat lo�s/hcat gniri <br /> �;ulculatJoii,,ilcsign tomPeretures, eyuipmcn� radngs end idrntificatiun as ro typc, mmiufaccurer and moclel. <br /> [1Hw shaq be prtsentcd on form providtci;� iQentifcation of and speciCu::ttion� fo�w�ter heating eyuip►ncnt <br /> yh811 alsu be provided. ' <br /> 4.: Whe��any rtcsv ranstri�ctinn or restuxitl�n�r is involved, a�parate bnildin}j per��at br abtainr�}, <br /> S. Ali wurl must be da�u:i.n nccord�nca wich th�Uniform Mechanical Codc/Siatc Building Codc tequirttncr,.[s. <br /> ti. Ali wc�rk mnsc be i�Qpec;te� (ro��gh-in arxi fn�!)... Cali 249�600. 24-hnurnotice rcquirtd. <br /> 7. ' f.��use t�rurtng'I'c9t Rccord must hc auh�rtntcd be#orc finnl. <br /> jp�t(Q�s C;nmpt�te all itenie c�n lhis applicacian. Compute thc pennit fee. Sign and eiHce the certification. <br /> i1VCUMPI.kTL•.Ai'Pt.ICAT1nNS WILL NO'1'$� ?ROCESSEU. If yau havc yuesci�ns, calt 249-4ti00, <br /> picr4�e.check one: N¢w �diJiriun. Repair �Replace � <br /> J ke3idential^ A �anmetcipl <br /> . . JOB SI'fl�: �j' �.� r�_ Z�• 5=�.�_ <br /> (?wner's N�me: �� �,,�.x�-,�`r,�`Telephone NumUer:�/'jz-�{-�-��� <br /> M�ilia�Addresx: . �iEY� Zip: � <br /> Contraetor's N�me: Teleph�ne Number:��'Z-�2�-.��-� <br /> h4�#lirrghdc�ress:��z.����, ;P���. ' � � � C'tty:<�f�;� �K �?�k Zip:M.��.� <br /> '�� <br /> ��ti1�SS�I.rTIUN <br /> � <br /> � . FIEATIN(3 SYST�MS � �. . <br /> � Q�rant�iy: . �� � � � <br /> Make: = — � —....Y_ <br /> i �-�..�.- . <br /> Mcxiel: .. :_„ . --- <br /> � Fuel: U����T � <br /> �� � . <br /> Flue Size: . � � <br /> input I�TLI�: _1��L`�'.� � —. .�- <br /> . Out�ut A'�'U�: . . �.__ <br /> CFM: . _ . -- . <br /> ; C+DaLING SYSTLMS . � <br /> Quantity: . �. : . � . <br /> � Make: � � ^-__ _ �._ <br /> ��L.�.��.� _ <br /> � ME�dri: �( , '. ... <br /> Tons: . .�:� �' � � _. <br /> f�. Powcr — _— ......__-- ----- <br />