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�-I-� I �� z`�- � I :� � <br /> / - " �' <br /> /�F, R C Y USE ONLY <br /> '�� Cit of Orono �q Y���y <br /> �' �O�\ P.O Box 66 ���'��6�/ Date Received:'_✓�Permit# ��� ��� <br /> 1 � �� 2750 Kcllcy P2rk�y / <br /> � Crystal Bay,MN 55323 Approvcd By: Amount$: �[ � <br /> � � Phone(952)249-a��Fa`�C�5����4616 <br /> \y � r <br /> \F � <br /> q,�F�,��."j C �'��10— MECHANICAL PERMIT <br /> �,.�i� (All Commcrci� �rmits must bc.ipprovcd by thc Building Official or[nspcctor and/or Firc Marshall) <br /> �GENERAL INFORMATION � <br /> 1. You may apply for mechanical permits by niail or in person at the City offices. Appiications will <br /> be reviewed and a permit will be issued within two working days. <br /> 2. Pennit cards will be sent by return mail after a review is completed. PERMITS ARE NOT <br /> VALID UNTIL YOU RECEIVE 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 /> hcating,ventilation,humidification-dehumidification,and air conditioning installation including <br /> heat loss/heat gain calculation,design temperatures,equipment ratings and identitication as to <br /> type,manufacturer and model. Dafa 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 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 App1y) � <br /> � Residential ❑ Commercial (Approval Required) [Backflow Device: ❑ AVB ❑PVB] <br /> ❑ New ❑ Additional ❑ Rcpairs ,�] Replace <br /> Job Site/ Owner Information: <br /> Site Address: 3�"5� ��C��'L-����- ��n �`�-� <br /> Owner: �' �' �' � G��-y�1 lvlaiiing �ddress: �"S� Iv G����-����- '��� <br /> City: !'��;!�'�vYLc Zip: ."�);5 Gf � <br /> Home Phone: Alternate Phone: <br /> Contractor Information: <br /> Contractor: �� !�� " ��� ��-�L � -C'�<<'��� Contact Person: �����` ���G1,��G�,_ <br /> Address: /�� � �U��/V`�'Z,Iltia6'l G{ (��- State Bond#: <br /> � <br /> City: �11'�V��6`�Z���,���ip:�jS�Z,u Expiration Date: <br /> Phone: �S !� � �� �� G1 L'����' Alternate Phone: <br /> ❑ Insurance—Current: <br /> 1 <br />