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HEATING PERMIT Permit Fee
Rece I pt State Surcharge .50
TOTAL FEE PAID ~ •
r:~,xr-Rai^rt Pl:~r~~i.ns; ~ ~i~~at-~n~ ~ ~o7ac1~.~. ra.~.Li~ T>Lri]-r~.~r
Permission is hereby granted to
Building on Lot No. - ~ Biock L Subdivision 1!<`, ~ r~ ~ ~ ~
Parcel '.'`'~~_~f)S~~,t1~.~1~fl--C~1. Plat
In theClTY OF LAKEVILLEtobeusedas ~`"~~'i~ zza~t~?? ~e.ar..3ta, ~:n n~.c:* Qi~tt~'r~tcti.naz
This permit is issued on the express condition that the ~'-ERECTION -ALTERATION -REPAIRS
--ENLARGEMENT -MOVING -DEMOLITION. respects to the statements certified to in the application for
such ISermit, and that ail work shall be done in accordance with the Ordinance of LAKEVILLE, Minnesota and the State of Minnesota
:pertaining to the construction of buildings.
r ~~n~n. r~ ~ T.ar~ ~;~rb-~
Street Address ~ ~ ~ ~x~=~' ~ ^
Director, License and Inspection
Attention is particularly called to the cutting up of-streets, making main sewer ~ ~ f
connections, drivewaysand curbs. Obtain permitforsuch construction from the CITY j r - ~
OF LAKEVILLE.lnspection Department Not Responsible For Any Damages to Public By ~ {'-k-~'• - - ' r ,x ~
t--~~„3~ i
Utilities.
~ - ~O _ ~Ip
i~
DATE '~I-' I.~
CITY OF LAKEVILLE.
BUILDING INSPECTION DEPARTMENT - (612) 469-4431
jAPPLICATION FOR HEATING PERMIT
Site Address : ~ ~ `7 L..~-f
Alter Repair
Legal: Lot Block Addition Install ;~C,, Replace
MAKE ^(C~ TYPE OF SYSTEM
SIZE ~j Z. ' Z~,`- BZ.. Warm Air Plants
CONN. LOAD Gravity
FUEL _ ~V ~l T' C-~~~, Mechanical
r~
FLUE DIA. Air Conditioning
SUPPLY OPENINGS Vent System
RETURN OPENINGS ~ Heating or Power Plant
INPUT ~ . ~ t~v
Steam
OUTPUT
Hot Water
EDR Radiation
CFM G~
Wood-burning Stove:
Wood-burning Fireplaces
. Plan No. Dote ~J
Est. Comp. Date ~ _ Est. Cost ~ ~ ~
Heating Permit Fee
State Surcharge
Total Permit Fees
Owner's Nome , L-.L"~~( ~~E~_~- -~iC.S
Address 7 ~ ~ "->~---+2~ c. L.~
Heating Contractor ~ Tel. / ~ ~ /
Address `^~`7~ " ~"Y-' ~ City ~~•~s+>7W',1~,,,A~ Zj'p ~
Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in-
stollotion ($29.50 + _50 surcharge)
Alteration or Repair Min. Fee _ SiIS . 50 ~ _ 50 surcharge) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $
Non Residential Fee shall be computed at 1 % of the contract up to $10,000; for _
balance over $10,000 + ;SO surcharge. Minimum=$24.50+.50_______-____$
(GAS PIPING INCLUDED)
Send application and heat loss calculation with check for Permits to:
CITY OF LAKEVILLE
Glenn A. (Barney) Langord Inspection Department Notice:
Plumbing & Heating Inspector Box 957 Call for inspection when
Lakeville, MN 55044 work is completed.