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From:COUNTRYSIDE HEATING & COOLING 763 479 2518 08/13/2012 11 :43 #572 P.001 /003 <br /> � � <br /> F �USE ONLY <br /> '0�� City of Orono p <br /> �a¢ ��� P.O.Box 66 Date Receivod: �3 � Pecmit#�� CJ � <br /> j� y�,,, 1 2750 Kelley Parkway �,� /�-� �� <br /> � �;�,;:. /� Crystal Bay,MN 55323 Approved8y: Amount S:[�_ �• <br /> 1��\��.�j� Phone(952)249-4600 Fax(952)249-46I6 ' <br /> �,,.__�� G��� <br /> CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercia]pecmits must be approved by the Building Official or Inspector and/or Fire MarshallJ <br /> GENERAL INFORMATION <br /> 1. You may appiy for mechanical permits by mail or in person at the City offices. Applications will <br /> be reviewed and a permit wil]be issued within two working days. <br /> 2. Peirnit cazds will be sent by retum mail aftcr a review is complctcd. PERMITS ARE NOT <br /> VAT.I17 UNTIL YOU RECEIVE A PERMI"I'. WO��MUST NOT BEGIN UNT1L TI3E <br /> PERMIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Desiens—Complete calculations,details and specifications are required for each <br /> heating,vontilation,humidification-dehumidification,and air conditioning installation including <br /> heat loss/heat gain calculation,design temperatures,equipment ratings and identiftcation 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 inspccted(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 ❑Commcrcial(Approval Required) <br /> ❑ New ❑Additional ❑Repairs ❑Replace <br /> Job Site/Owner Information: <br /> Site Address: .9�� ��'-�� ��m �a� � <br /> Owner: �7`�'a r0 h i�,u S� Mailing Address: 9�.� �'"�'-�d Gyt�'w� ��'1 <br /> c�ri: Oro►-�o z�p: ,3'�^3 5.6 <br /> Home Phone������7- 96�8 Alternate Phone: <br /> Contractor Information: <br /> Contractor: (� S��Q 5��� Contact Person: � rlQr LPi✓�i�li1 ��e �� <br /> Address: �`.��(� W �� State Bond#: I�f lJ ���� �� _ <br /> City: jl��� ? �I�� Zip:��35,�Expiration Date: 6 �O °�'�/ <br /> Phone: �76.�1�.7�'�6�/� Alternate Phone: <br /> � <br /> ❑ Insurance—Current: /►'Vv►� « ���'� <br /> 1 ��jV�u(�-� <br />