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No 11836
s d +Y, lslu ut3t, 11 1g - ~ur fe i f Lak Ct o I ~~.~~6 y ~ " ~ ` HEATING PERMIT Permit Fee X3.5 ~ 8t. ReC21 pt State Surcharge .50 TOTAL FEE PAID 44) ^ ' Permission is hereby granted to ' ~"ontrollec~ A~.~lJns. ~'i11~r Cortstr Building on Lot No. , Block I? Subdivision ~1~1~~m°" pa'^''r Rttl Parce~~22-21177~L~1~3-12 Plat In the CITY OF LAKEVILLE to be used as p2rmf t tea insta~.l tzs3t'trik z'i iteC~* COnstYUCtion This permit is .issued on the express condition that the X ERECTION -ALTERATION -~tEPAIRS .ENLARGEMENT -JNOVING -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 16018 ~'~.?.r~;ree~ ~ivert~~~ ~1~nn A. L~n~orc~ Director, License and Inspection Attention is particularly called to the cutting up of streets, making main sewer L.. , connections, driveways and curbs: Obtain permit for such construction from theClTY ~ OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~ Utilities. } !~-'~V 1 ~ -~~"-gam w C9TY OF ~AKF~JlLLE ~ BUILDING INSPECTION DEPARTMENT - (612) 469-4431 APPLICATION FOR HEATING PERMlT Site Address : `a ' Alter Repair Legal : Lot Block ~ Addition Install Replace MAKE ~ TYPE OF SYSTEM SIZE - ~ ~ ~ Worm Air Plants CONN. LOAD Gravity ~1 j FUEL ~ ~'~_t ~ ~ Mechanical FLUE DIA. f ~ Air Conditioning SUPPLY OPENINGS Vent System RETURN OPENINGS x, r. Heating or Power Plant INPUT i)~'~' L-%~- Steam OUTPUT Hot Water EDR Radiation CFM Plan No. ~ ~ Date Est. Comp. Date Est. Cost Heating Permifi Fee ~ ~ ~ , Commercial• Contract Amount $ State Surcharge ~ J / , Total Permifi Fees ~.i t' Owner's Name ~,%>C'. \ 1`i P Address ~ *--'y ~.r_° ~ t ~ Heating Contra. for ti~ ~ C~ ~~f l t`_ Tel. ~--4 . , G' c~ yy~~ _ ~ - - Address l i~' < ~ ~_C:' i ~{'vC!~ C~ City ~c_. ~,j~ Zip ti.~1 Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in- stollation ($39.50 +_50_surcharge) Alteration or RepoirMin. Fee_Si19,5o ~ _50 surcharge) Non Residential Fee shah be computed at 1 % of the contract up to $10, 000; for balance over $10,000 + .-50 surcharge. Minimum=$24.50+.50-___________$ (GAS PIPING INCLUDED) Send application and heat loss calculation with check for Permits to: ClT7 ©F LAKEVlLLE Glenn A. (Barneq) Langord Inspection Department Notice: Plumbing & Heating Inspector Box 957 .Call for inspection when Lakeville, MN 55044 work is completed.