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Jun, 13. 2017 2. 30P1� PRACTiCAL SYSTEMS No, 3314 P. 2/4 <br /> � <br /> POTt CyTY USE O,�IT.Y <br /> ��1 _ Cily of Orono / � > j��� <br /> 1�!/-� P.O.Box 66 Datc Receivedll% S ��Pemiii# ���/ � �1�'-�y <br /> V 2750 Kcllcy Parl.�+ay �,y„� <br /> CYystal Bay,htN 55323 Approved gy: �C/-: An�ounl S: �7 -� �S <br /> Phonc(45z)za9-�+6ao pac t9s2�za9-a6�a <br /> �F � <br /> t 4 G crT�r or o�orra-�cr�.r�rcA�. p����r <br /> qk S H 0 � (All Commercial pcmii�s musi bc approvcd by lho Build�ng qlTicisl or inspcctior and/or Pin Ma�st�all) <br /> Cr�.I�RAT,iN�'ORMATYON <br /> 1. �1''ou may sppl�Por mcchanical pctmits by mail or in person at lhe City offices. AppliCadons will <br /> be reviewcd and s permit will bc issucd within two working d�ys, <br /> 2. Pcrnvt cards will bc s�nt by return n�ai1 after a review is con�pleted. P�TtMCTS Aii�NOT <br /> VALID UNTIL YOU REC�r'VE A PERMIT. VVORYC ATCYST NOT B�CrTN UNTIL THE <br /> PE12t�41T CARU CS�OST�b ON TT�J'O�SYTE. � <br /> 3. Mechanical Desi¢ns�Complete e�lleulatiotts,delails and speeifications arc rcquircd For cach <br /> heating,venkilalion,htunidification-deltumidifica[ion,Hnd aircondilioning installation including <br /> heat�oss/hea(gAin Cb1CUlAt10�1,desigi�teutiperatures,equipmtnC ratings and idcn(ification as to <br /> type,�»anufacturer a��d model. bata sl�all be presenetd on Form providcd. <br /> 4, When any new eonstruetion or remodeling is in�vol�vcd,a scparalc building pcm�it must be <br /> oblained. <br /> 5. All work�nust be doiie in aeeordanee t�ith lhe Unifonn Mcchanical Codc/Slalc Building Code <br /> rcquiremen�s, <br /> 6. All work must be inspected(rougl�-in and Cinal). Call(952)249-4600. <br /> (24�8 l�our nofire requir�d) <br /> 7. T-�ouse T-Teatiug Test EZeCord ntusl bc submillcd bcforc final. <br /> TYPE O���.�2MYT <br /> Checl�All'�'hat A 1 <br /> ResidenCial ❑Commcrcial(Approval Required) [Backflow Device:❑AV� ❑P�] <br /> ❑Ncrw �Additioval ❑�LepAirs ❑I(eplaee <br /> Job Site/Ot�vner rnformation: <br /> Site Address: `��I � `�/ � '�'-� ` ��' � � <br /> O�v�ae;r: �o�� M'���� Mailiiig Address: Sr"�m � <br /> c�cy: C�f o n a Zip: <br /> �5� 9 I <br /> Home Phone: �� - 7 S 5 `��Q� Altes-nate phone: <br /> Contractor Information: <br /> Kl��e �oc� � P�A PP��r'�c�l SySte�S <br /> Contractpr: ContactPerson: ��f',5 <br /> Address: �3�Z� Sr19�j'' �'k��. StaCe�ond#: /�'l �5���J�J j p <br /> CiCy: � ��'� Zip:S�3y3 �xpiration Date: �/��` �� <br /> Phont: `�5�"�33 �� ��� Alte►•nate Phone: <br /> ❑ Iusurance-Current: y�S <br /> �. <br /> 1 <br />