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F om:�UNTRYSIDE HEATING & COOLING 763 479 2518 08/13/2012 11 :42 #571 P.001/003 <br /> F CI Y USE ONLY <br /> '��- City of Orono �/ /�, <br /> ����� Date Receivc : / �� Pcnnit k O�U� �' ��� <br /> P.O.Box 66 <br /> !�O. � 2750 Ke[ley Parkway c � <br /> \ �,`lf,v :. �� Crystal Bay,MN 55323 Approved By: Amount$��O . f <br /> \��f���3���� Phone(952)249-4600 Fax(932)249-4616 �' �� <br /> �.__.� (l/��f <br /> CTTY OF ORONO-MECHA.NICAL PERMIT �v�- <br /> (All Commercial permils must be approved hy the Building Official or lnspector andlor fire MarshalJ) <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 perznit will be issued within two working days, <br /> 2. Permit cards will be sent by rttam mail after a rcvicw is completcd. PERMTTS ARE NOT <br /> VALID UNTTL YOU RECEIVE A PERMIT. WORK MUST NOT�EGIN 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,ventilation,humidification-dehumidification,and air conditioning installation including <br /> heat loss/heat gain calculation,design temperatures,equipznent 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 pecmit 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. Housc Hcating 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: ��•� /��i`f f iK�. �A�-�-- <br /> Owner: �� ����- Mailing Address: ������`l�1 ��- <br /> City: � v1�O Zip: ���� � <br /> Home Phone:((O�a 1 a �7r�3 y9 Alternate Phone: <br /> Contractor Information: <br /> Contractor: ����'1f�j� �1 F�'I�l� Contact Person: �/�hc.�A(l%Gl � Q ��Twyrl. <br /> V /y�p� <br /> Address: ��� w �� State Bond#: !'l 1� U���.3 <br /> Ci �L�? /��1 h Zip:JrJ'r3�9 Expiration Date: 6�� ���.-��y <br /> tY; � <br /> Phone: Alternate Phone: <br /> ❑ Insurance-Current: I � '�e' �D016 �'� <br /> 1 Il�l,�e�vz�l��e ���� <br />