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12232. pity o~f Laeviiie „ ~9-
HEATING PERMIT
Permit Fee 39.50
& Receipt
State Surcharge .50
TOTAL FEE PAID 40.00
Permission is hereby granted to Ray N. Welter Heatine/E. F. Knight,. InC
Pt Sect. 17, T114, R20
Building,on Lot No. Block Subdivision
Parcel 22-~ 01700-015-57
in theClTY OF LAKEVILLEtobeusedas Permit to install heating in new construction
This permit is issued on the-express condition that the ERECTION ALTERATION 4REPAIRS
Y INSTALLATION MOVING DEMOLITION respects to the statements certified to in the application for
such permit, and that all work shall be done in accordance with the Ordinance of LAKEVFLLE, Minnesota. and the State of Minnesota
pertaining to the construction of buildings...
street address 1872$ Dodd Blvd Glenn A. 'Langord
- -
.Director; License andinspection -
~ l f 1-,
CALL FOR INSPECTION - 469-4431. By ~ ~°'~F ' ~ r -1 ' _
°`L R-
~~~P
DATE
CITY OF LAKEVILLE
.APPLICATION FOR HEATING PERMIT
"Site Address:. ~ ;`/~1~~ 1~°~
Legal: Lot Block Addition
Owner's Name : ~ ~ G~f~.~ Phone : ~y~~.~ ~
~ T.
Address: ~C"i„~ ~ f City Zip
Heating Contractor: ~ l ~ Phone: ~c~-;~ `t;~~~~'R
.Address : ~r~ ~ - , City 1~~ Zip
New ea~istrnetion.;.. ..Install
l~sxisting structure: Alter Repair Install Replace
MAIZE ' ~,~'~~,Al~'~`~ ~ TYPE OF SYSTEM:
SIZE Warm Air Plant
CONN. LOAD ~ Air Conditionin ~
g
C
FUEL /l_.~1~ f ~i~} _ Vent System
FLUE DIA. ~e~ Beating or Power Plant
SUPPLY OPENINGS
RETURN OPENINGS ~ HEATING FEE RATES:
INPUT ~~i~~,
Residental
/ 'New Construction: .$40.00
.OUTPUT ~'"li ($39.50 ~ .50 surcharge}
EDR Minimum: $20.00
CFM ($19.50.+ .50 surcharge)
Commercial:...
1% of contract cost, up to
HEATING PERMIT .FEE: • $10,000 and.~% over $10,000
# .50 surcharge.. Minimum of
SURCHARGE: ® $24.50.+ .50 surcharge ($25.00).
I' ~
I TOTAL PERMIT COST: Commercial :contract
I AMOUNT:
Send opplicotion and heat loss cokuiotion with check for Permits to:
CITY OF LAK~1/1LL~
Glenn A. (Barney) Langord inspectiaa Department. Notice:
Plumbing ~ Heating Inspector Box 957 CaII for inspection when
Lakeville, MN 55044 work s completed.
4b9-44.31