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O CITY USE ONLY <br /> City of Orono RECEIVED j� �^ - j n <br /> P.O.Box 66 Date Recei�fUl Permit# �l 7 "v Z. :J?;. <br /> 2750 Kelley Parkway 7 / <br /> Crystal Bay,MN 55323 MAIC 0 6 2011 Approved By: Amount$: �,z `/ <br /> Phone(952)2494600 Fax(952)249-4616 I <br /> O <br /> �kES H O�� CITY IWRONO N MECHANICAL PERMIT <br /> (All Commercial permits must be approved by the Building Official or Inspector and/or Fire Marshall) <br /> GENERAL INFORMATION <br /> 1. 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 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 /> heating,ventilation,humidification-dehumidification,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 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)2494600. <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 Apply) <br /> T]Residential ❑Commercial(Approval Required) [Backflow Device:❑AVB 0 PVB] <br /> 0 New 0 Additional ❑ Repairs ❑Replace <br /> Job Site/Owner Information: <br /> Site Address: v ti O r" V� �;�.� vv1 <br /> Owner: C CL-' \ S�=Y-` Mailing Address: (SLL;I Y - CL .S <br /> City: Zip: <br /> Home Phone: (7Z" LA.—1 Z -)-(,) I Alternate Phone: <br /> Contractor Information: • <br /> Contractor: VIM CV c tt(Ale t ontact Person: I�.-� <br /> (C 1 (. UC <br /> Address: C-1 (l al i (l 11 Y 1 tate Bond#: 11 1 1 () 0 ='Liy <br /> City: ak/it 1 )s ( L' ip � ' ' Expiration Date: <br /> Phone: � � � /(/(/---)_ Alternate Phone: // <br /> ❑ Insurance—Current: L. `� Li-o <br /> 1 <br /> (64-1 1 C ) <br />