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ti <br /> t ,� n,-] " �"',�,(."� �..4('(aj . <br /> . � � ` �� ���1. �C <br /> FOR CITY USE ONLY <br /> � " " City of Orono � ����} ; <br /> r,`���� �� P.O.Box 66 Date Received �%��1i-,•'��Permit# �` �� <br /> \ <br /> � <br /> '��ti �'�� 2750 Kalley Parkway i <br /> a p�"�r !� Crystal Bay,MN 55323 Approved By: � Amount$: �5 7.��� <br /> ':�'+� ��i�"��w}`o'�jf (952)249-4600 <br /> ,,t�nx�°.�� <br /> CITY OF ORONO—MECHANICAL PERMIT <br /> (All Commercial permiis must be approved by the Building Official or Inspector and/or Fire Marshall) <br /> GENERAL INFORMATION <br /> 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will <br /> be reviewed and a pernut will be issued within two working days. <br /> 2. Pemut cards will be sent by return mail after a review is completed. PERMITS ARE NOT <br /> VALID i.JN"I'IL YOU RECEIVE A PERNIIT. WORK MUST NOT BEGIN UNTIL THE <br /> PERNIIT CARD IS POSTED ON THE JOB SITE. <br /> 3. Mechanical Desiuns-Complete calculations,details and specifications are required for each <br /> heating,ventilation,humidification-dehumidification,and au 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 pernut 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 Requued) <br /> ❑New Q Additional ❑Repairs ❑Replace <br /> Job Site/Owner Information: <br /> SltB AC�CIIeSS: 2�65 Kelley Parkway,Orono Professional Center(MN Maxiofacial&Oral Consultants) <br /> Owner: �^�✓-%�n�u�� Mailing Address: <br /> City: Zip: <br /> Home Phone: Altemate Phone: <br /> Contractor Information: <br /> COritT1CtOT: I'ale Mechanical COritaCt PeTSOri: Mike Bokenewicz <br /> f�C�dI'OSS: 9649 Girard Avenue South State BOrid#: 9314845 <br /> Bloomington 55431 03/26/07 <br /> City: Zip: Expiration Date: <br /> Phone: (9s2>ssa-t66i Alternate Phone: (9s2>292-ai�a <br /> ❑✓ Insurance—Current: <br /> o2io vos <br /> 1 <br />