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No 11762
_ . .r .s I'LS ~ ~ by 19 -REi City of Lakeville H~AT~tV~r 'R~RM~~~~~ . , Permit Fee , . , , 39.50 . ~ ReCel pt State Surcharge .50 .TOTAL FEE PAID 40.00 ,5 4., Permission is hereby granted to Juds~3eat~.et s Building on Lot No. 1 ] Block 1 Subdivision D-e~1~1 p~{++*o Parcel #22-2©860--I10-OI Plat In the CITY OF LAKEVILLEtobe used asPertnit to install. heating, in nt?w Construction 'this permit is issued on the express condition that the X> ERECT19N -ALTERATION _~tEPAIRS -ENLARGEMENT _JIAOYtNG -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 LAKEVILLE, Minnesota and the State of Minnesota .pertaining to the construction of buildings. Street address Excelsior'Drive Glenn A. Langord - Director, License and:Inspection Attention is particularly called to the cutting up of streets, making main sewer connections, driveways and.curbs. Obtain permit for such construction from the CITY OF LAKEVILLE. Irr~pection Department Not Responsible For Any Damages to Public ' By ' r Utilities. _ A ~eiK,,(~t~~,, I 11~ /•(J ICI F C DATE ~ ~ T CITY OF LAKEVILLE BU1LDlNG INSPECTION DEPARTMENT - (612) 469-4431 APPLICATIO OR HEATING PERMIT Site Address: Alter Repair Legal: Lot Block Addition Install Replace MAKE ~ TYPE OF SYSTEM SIZE ` ~?L_k~?~-~-~ Worm Air Plants CONN. ~LyOAD Gravity FUEL -L~~~ Mechanical FLUE DIA. Air Conditioning SUPPLY OPENINGS Vent System RETURN OPENINGS ~ Renting or Power Plant INPUT Steam OUTPUT Hot Water EDR Radiation CFM P1on No. Date Est. Comp. Date Est. Coss Heating Permit fee CommerciaL•Contract Amount $ State Surcharge Tofal Permit Fees Owner's Name Address Heoting Contract ~ Tel. ' Address City Zip Heating, Air Conditioning, Ventilation 8 Refrigeration Permit Fee for single family residence in- stollotion 39.50 + _50 surcharge) Alteration or Repair Min. Fee_5~19•50_±_50 surchargeZ_____________________$ Non Residential Fee shall be computed at 19'0 of the contract up to $10,000; ~Z for balance oven $10,000 + ;50 surcharge. Minimum=$24.50+.5Q-___________$ (GAS PIPING INCLUDED) Send opplicotion and heat loss colculotion with check for Permits to: CITY OF LAKEVILLE Glenn A. (Barney} Langord Iaspectian Department Notice: Plumbing :Heating Inspector Box-957 Call for inspection whey Lakeville, MN 55044 work is completed.