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RECEIVE Fo� ITY USF,ONLY / <br /> O City of Orono � � !/ � <br /> � � P.O.Box 66 �ry4` � Date Kec ive�: Permit# ��Q' 7 <br /> � 2750 Kelley Parkway NU M � 20�� z � <br /> Crystal Bay,MN 55323 Approv By: Amount$: �✓ <br /> Phone(952)249-4600 Fax(952 249-461 <br /> y� G� <br /> c+-nr b�oR�N <br /> �qk�SHO�@ CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercial permits must be approved by the Quilding Ofticial 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 review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB SI7'E. <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 mode;. Data shal] 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) [Backflow Device: ❑ AVB ❑ PVB] <br /> ❑ New ❑ Additional ❑ Repairs ❑ Replace <br /> Job Site/Owner Information: <br /> Site Address: 145 CYGNET PLACE <br /> Owner: NYLA BADER Mailing Address: 145 CYGNET PL <br /> City: ORONO, MN Z�p. 55356 <br /> Home Phone: 952-449-9229 Alternate Phone: <br /> Contractor Information: <br /> ContraCtor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN <br /> AddCeSS: 6161 GOLDEN VALLEY RD,BLDG A State BOrid #: MB003503 <br /> Clty: GOLDEN VALLEY Zjp; MN Expiration Date: osi2oi2o�s <br /> PhOrie: 763-512-2765 Alternate Phone: <br /> OLD REPUBLIC INSURANCE CO. <br /> ❑ WORKERS COMP&EMPLOYERS LIABILITY <br /> InSuranCe—Current. POLICY#WLRCC48597075 <br /> oni irv oGoinn_mim nniFsi m+np�7 <br /> 1 <br />