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FOR CITI'USG O�I.I" <br /> � City of Orono �/ <br /> ���� P.O.Box 66 ������, �ate Received: Permit#p/dl7"� <br /> 27�0 Kelley Parkway G <br /> Crystal Bay,MN 55323 Approved By: Amount$: �J3.5� <br /> Phone(952)249-4600 Faz(�(��IfS�6�� <br /> �� � �.t <br /> l�kFSHo`�``G CITY 0����[�Ot,�ECHANICAL PERMIT <br /> (All Commercial permits n us be approved by the Building Official 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 oftices. 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 RECEIVE A PERM[T. WORK MUST NOT BEGIN UNTIL THE <br /> PERMIT CARD IS POSTED ON THE JOB 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 /> obtaii ieu. <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 [t]�lace <br /> Job Site/ Owner Information: -- <br /> Site Address: � Z 5 �e�'N'�/f- �� � 'd �V - /�J �i�o�� -��`�l�tl <br /> Owner: �u�`��� Mailing Address: � � a � 4 3'�`''l �t � <br /> �� Zi ����U � <br /> c�n�: 1�1,� �: <br /> Home Phone: ���' 7G 1-��¢-3 Alternate Phone: <br /> Contractor Information: <br /> Contractor: /7�/���1��� C''���tact Person: ��7�J <br /> Address: �/ J l<�i> 7� S�'L" State Bond #: �/� (`�O,3��� <br /> City: S � ��C� Zip: �� ���EXpiration Date: I � � �� <br /> Phone: G%S l" Z Z�% '"l-3�� Alternate Phone: �J�' � 7C�— 7� G �, � <br /> ❑ Insurance—Current: �-ea`��`�a��� <br /> 1 <br />