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HomeMy WebLinkAboutNo 10832 ~ . Peeemb~r 5 , ~9 X33 City of Lakeville Y 1 29.5 HEATING PERMIT Permit Fee . 8l I~eeel pt State Surcharge .50 30.n0 TOTAL FEE PAID Permission is hereby granted to CoattrOl.led ~4ir / .TOS , Miller ~ ~rtst . Y t Building onLotNo. Block SubdivisionDOnnayt3 VSlleg 'dark. f3t~'t Addn. Parcel 4;:2~-~?.1177--22n--1~} Plat Ferrnit to ir,gttgll he~at:in~ it nc~~ canatructian. itte CITY OF LAKEVILLE to be used as , ~ This permit is issued on the express condition that the X ERECTION -ALTERATION T-REPAIRS -ENLARGEMENT -JIAOVING -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 pertainingto the construction of buildings. X217 Frsnt:ar~ia Av~n::~ ~I.enn A. Langord Street Address Director, License and Inspection Attention is particularly called to the cutting up of streets, making main sewer connections,drivewaysandcurbs.ObtainpermitforsuchconstructionfromtheCiTY ©f' LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By r~ ii Utilities. CITY OF tAKEVtL,;,! Date : I - ~ ' J _ t etc ~ CITY OF lAKEVILLE i.AKEVIttE. i4AN 66044 INSPECTION DEPARTMENT - ' APPLICATION FOR HEATING PERMIT Site .Address : ~ ~ \`~l ~ ~ Yl ~ c~_ ~ ~i_ Alter Repair Install ~Q Repair Legal: Lot Block Addition MAKE ~ ~ ~ _ TYPE OF SYSTEM SIZE 5 Warm Air Plants CONN. LOAD Gravity FUEL ~ Mechanical t~ n FLUE DIA. ~ Air Conditioning SUPPLY OPENINGS Yent System RETURN pgPtENINGS Heating or Power Plant INPUT 0 ~ O C> ~7 Steam OUTPUT Hot Water EDR Radiation CFM Special Devices Other Devices vin °lon No. Date ~ a ~ ~ =st. Comp. Date Est. Cost ~~j ~ Q Heating Permit Fee O`~ j a Gas Piping Permit Fee Total Permit Fees ~ d ~ ~ ~ , Owner's Nome ~ ` . C Address ~ c~ ~ V Heating Cont ctor~ ~rT` Telephone : ~ l~ ~ cJ~. Address t~~ ill ! City ~ ZiP ~S~ ~ _ Heating, Air Conditioning, Ventilation & Refrigeration Permit Fee for single family residence in- stollotion ~$29._50±.SOsurcharge,__________________________________$ Alteration or Repair Min. Fee1~L~.5Qf~50surcharges_________________________$ o , Non Res~dentiol Fee shall be computed of 1 /o of the contract _~$2/+. 50+. 50 surcharge ,Minimum) Gas Piping Fee for each installation= Included______________________________$ Send o li cation and heat {ass calculation with h k t r P rmi PP c ec o e is to: CITY OF LAKEVILLE Inspection Department Box M Lakeville, MN 55044