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1 <br /> F }Q CITY USE ONLY <br /> �O A r City of Orono e2tO j( �17 <br /> WPO.Box 66 �1ECpED Date Received:`"`�/LG UPermit# <br /> 2750 Kelley Parkway �\ `�V C <br /> Crystal Bay,MN 55323 Approved By: Amount <br /> Phone(952)249-4600 A$ 5'1�j U921b'f _ _ _ <br /> CIT , '` CC UU X100-MECHANICAL PERMIT <br /> (All Commercial pe rm s m be y 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)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 Apply) <br /> XResidential 0 Commercial(Approval Required) [Backflow Device: ❑AVB 0 PVB] <br /> ❑ New ❑Additional 0 Repairs 0 Replace <br /> Job Site/Owner Information: <br /> Site Address: 3 30 n i 1 v-ex \ \ <br /> Owner: \-kx\ -AOC. 6 .S Mailing Address: .aa a(oo lb.f ? Vci <br /> City: L -UlAtle) Zip: 6a)g4 <br /> Home Phone: CO.!2 • SO-O(o1- Alternate Phone: <br /> Contractor Information: <br /> Contractor: G to\ ,3u5 p Contact Person: nil <br /> niz- <br /> Address: 100 E c -o‘c a -6r- . State Bond #: M t 005 Z(o <br /> City: 3u r0\ A--1 Zip53s L Expiration Date: �'/4::,_`3`0 3-O <br /> Phone: g 5 2--`412--- Q2--74. Alternate Phone: <br /> .-XI Insurance-Current: c\-�,r-a_-1-c_.� <br /> I 1A\.,-A-�a1 <br /> l°1./1-1(i — Ill \�.5_ . <br />