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Ju1-19-2000 10:32am From-CITY Of ORONO +9522494616 T-125 P.004/005 F-324
<br /> . � � . � , J �J ^�4 � ��3 �
<br /> F . . . _ a3.
<br /> . CITY OF ORONO � A'�'PLICATION FOR ME��IANXCAL PERMI'�
<br /> Box 66 (2750 Kelley Parkway) . .
<br /> , . Crystal Bay, MN 55323 . � . . �
<br /> � � ' . -• �� • �...�z;�.�r
<br /> GENERAL 1NFQ�IATION � �
<br /> 1. You may apply.for mechanical permits by mail or in persoa at.che Ciry offices. Applicacions will be
<br /> . reviewed and a'permit will be issued wichin 2 workin,g days. . , ' '
<br /> 2. Permir�cards will be sent by retum mail aftec a review is completed. PkRMITS:A.RE NOT VALID .
<br /> �� . • UNTIL YOU It$CETVE A PERMIT.• WORK MUST NOT BEGIN UNTIL THE PERMIT CARD TS �
<br /> � POSTED ON THE 7p� SITE. � �
<br /> . � 3.� � Mechanical Desi�n� - Complete calculations, decails.and specifications are,required for each heating, .
<br /> vea�ilation, humidiRcatiou�iehumidification� and air conditioning installation ineluding hea� loss/heat gain � �
<br /> calculation, design temperatures, equipment raungs and identification as [o rype, maaufacturer and model.
<br /> . . . Da�a shall be presenud on form provided. Idencificacion of and specifications for wa[er heating equipment �
<br /> shall also be provided. � ' � �
<br /> ' 4.. When any new construccion or remodeling is involved, a separate fiuilding permic musc be obcained. �
<br /> 5. All �work must be done in accordance wirh the Uniform Mechanical Code/State Building Code
<br /> requirements. �
<br /> 6. All work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required.
<br /> � 7. House Heating Test Record:musc be submicted before final, �
<br /> Ix►gtiructions � Complete all�items on this applica[ion. Compute che permit fee. Sign and date the cenification.
<br /> � INCOMPLE'TE APPLICATIONS WILL NOT BE PROCESSED.� If you havo ques[ions, call 249-4600. �
<br /> �Plaase check one: � New Addition � Repair r Replace
<br /> � � � Residen[ial� �Commercial � .
<br /> JOB SIT�: .,� ,_�_ .J;� ,-'�r\� �`r� c e , . . . _ Zip: -� `.� `?;�� ; . . .
<br /> Owner's Name: i..e c l �,,�-, c t�n ;�— Telephone�Number: ����, ��� � -3��� �
<br /> Nlailing Address: �� .� ,�� ,�,k;.,..�\��� . City:`, •,t 'r-���:,, Zip:. �S `_, r� k �
<br /> Contractor's Name: >��,�, 1�: �.;�, . 1'elephone Num6er: �t';�,-`a���,�-v i �� ..�
<br /> Mailing Address: \l�'t�?��WI.\, L���1�v City: (' ,,. 1 ,,1�, Zip:_ � ;�1�. �
<br /> . SYSTEM DESCRIP'rION � . . .
<br /> HEATING SYSTEMS � �
<br /> � � .Quaritiry: � ` , �
<br /> � Make: . r,�, � �.
<br /> � � Model: . ,•,��`,.i _
<br /> Fuel: . ���,� ,_ , , , ,
<br /> � Plue�Size: ��v �. � . , ,
<br /> Inpur BTUs: ,:���c,n� �. � . .
<br /> Oucpuc BTUs: ��r �->a�•� , - . .
<br /> _�� , .
<br /> CFM: . � ..1��,,� � .
<br /> COOLING SYSTEMS , � � � . .
<br /> ; Quantiry:, . . . .. ,
<br /> . � . � Make: ( � �� .
<br /> � Model: `��:•������� mt�rt-�� ,-�b.�� .
<br /> � Tons: • . �. . ,
<br /> , __� j
<br /> � H. Power . . �
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