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�, �'. RECEIV�'� <br /> fY USE ONLY <br /> City of Orono ��p �� �� ) �+. ,�n/ � <br /> �O�O P.O.Box 66 D�te''R�c�Wed 'ermit# �/�-+�{ <br /> 2750 Kelley Parkway <br /> Crystal Bay,MN 55323 (;�� FA���}�: Amount$: �/ <br /> Phone(952)249-4600 Fax(952)249-4616 ���v <br /> � � <br /> ti � <br /> F' G� <br /> !qk£SH��� CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercial permits must be approved by the Buildino OYficial or Inspector and/or Fire Marshall) <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 revicw is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEG[N UNT[L THE <br /> PERMIT CARD IS POSTED ON THE JOS SITE. <br /> 3. Mechanical Desi�—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 /> � Residentia] ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> Job Site/Owner Information: <br /> Site Address: 1209 FRENCH CREEEK DRIVE, ORONO <br /> Owner: MELINDA JACOBS Mailing Address: 1209 FRENCH CREEK DR <br /> City: WAYZATA , MN Z�p: 55391 <br /> Home Phone: 952-473-1071 Alternate Phone: <br /> Contractor Information: <br /> Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN <br /> AC�dI'eSS: 6161 GOLDEN VALLEY RD,BLDG A State BOnd #: MB003503 <br /> Clty: GOLDEN VALLEY Zlp: �`/�N EXpll'ah011 �ate: 08/20/2018 <br /> Pl1011e: 763-512-2765 Alternate Phone: <br /> OLD REPUBLIC INSURANCE C0. <br /> ❑ WORKERS COMP 8 EMPLOYERS LIABILITY <br /> InSUCalICe—CUCCe17t. POLICY#WLRCC48597075 <br /> oni irv oGAinn_n�inv�n�F n�mv�p�] <br /> � <br />