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� r `.�- <br /> RECEIV <br /> FO�CI 1'USE ONLY <br /> City of Orono � /, <br /> �O�O P.O.Box 66 NOv 2 �� �te Received! � �1� Permit# �"��� � <br /> 2750 Kelley Parkway �j <br /> Crystal Bay,MN 55323 Approved By: Amount$: ,/� <br /> Phone(952)249-4600 Faz� <br /> � � <br /> y� ; .. <br /> �' CITY OF ORONO—MECHANICAL PERMIT <br /> ��k£5 H��� �q��Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) <br /> GENERAL INFORMATION <br /> L 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 SITE. <br /> 3. Mechanical Designs—Complete calculations,details and specifications are required for each <br /> heating,ventilation,humidification-dehumidifieation,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 /> obtained. <br /> 5. All wark 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 I-�eating 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: 80 LEAF STREET <br /> owner: JERRY HALL Mailing Address: HO LEAF ST <br /> c;ty: LONG LAKE Z;p: 55356 <br /> Home Phone: 6�2-3J6-3� � 5 Alternate Phone: <br /> Contractor Information: <br /> Contractor: CENTERPOINT ENERGY Contact Person: JOANN ZINKEN <br /> ACIC1CeSS: 6161 GOLDEN VALLEY RD,BLDG A St2te BOriCI #: MB003503 <br /> Clty: GOLDEN VALLEY Z1}�: MN Expiration Date: osi2oi2o�s <br /> P�1011e: 763-512-2765 Alternate Phone: <br /> OLD REPUBLIC INSURANCE CO. <br /> ❑ f WORKERS COMP&EMPLOYERS LIABILITY <br /> InsuranCe—l�''Urrent. POLICY#WLRCC48597075 <br /> oni irv ocoinn_nvnvon�as��n�np�� <br /> 1 <br />