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HomeMy WebLinkAboutNo 10996 ~ \ ~ ~Li1i' 1. 19 ~lr ~ City of Lakeville HEATING PERMIT Permit Fee , 8e Rec@Lpt State Surcharge .50 TOTAL FEE PAID s'~~1 I Permission is hereby granted to Contxolleei A.iT / .T©g . M. '+tiller ~iOnSt . Building on Lot No. 13 Block .L1 Subdivision DonnaVS Valley Park $t'~"t Adr3n Parcel ;f ~7-21.1?-13'•"~-11 Plat In theClTY OF LAKEVILLE to be used as ~'~r~;tit tt? iztstall '~ea.t:ina in new con~st~'taction This permit is issued on the express condition that the T= ERECTION -ALTERATION _~EPAIRS ENLARGEMENT _~AOYING -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. ~ ~"~t4.. &'anta~ia A~%Pnu~ r;; enn A. I,an~?orc~ Street Address Director, License and Inspection Attention is particularly called to the cutting up of streets,,making main sewer ek, ~ v connections, drivewaysand curbs. Obtain permit for such construction from the CITY ~ , ,t OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By ~ ` y. ~ Utilities. I C171f OF LAKEVt't~lt Date : _ ~ r~' ~ X47 _ ~ eo~t ~ CITY OF LAKEVILLE LAKEVILLE, IAN S60~It tNSPECTtON DEPARTMENT - 469-4431 APPLICATION FOR HEATING PERMIT Site Address : ~C%~. ~ S 1 C.e ~ Alter Repair Install X, Repair Legal: Lot Block 1 ~ Addition MAKE T~~>1 ~ TYPE OF SYSTEM SIZE _ e Warm Air Plants CONN. LO D ~ Gravity FUEL ~~1 ~c=~ ~ Mechanical FLUE DIA, ~ C Air Conditioning SUPPLY OPENINGS Vent Syslen, RETURN QPENINGS Heating or Power Plant INPUT i Steam OUTPUT Hot Water EDR Radiation CFM Special Devices Other Devices 'Plan No. - ~ ~ ~ S Date ~ ~ Est. Comp. Dote G` ~ ~ ~r~ Est. Cost Heating Permit Fee Gas Piping Permit Fee Total Permit Fees ~ ~ Owner's Nome ~ 1 ~ ' Address ~ ~ Heating Contract r G ~ ~ ^ Telephone : /~c(iL!' v~ Address ~ , i 141 C% C:~/") 1V City Zip Heating, Air Conditioning, Ventilation $ Refrigeration Permit Fee for single family residence in- stollation ($29.50+_50surcharge,_______ Alteration or Repair Min. Fee~~L~.S.OfS~sur_charg~________________ Non Residential Fee shall be computed at 1 % of the contract _ x$24.50+. 50 surcharge ,Minimum) Gos Piping Fee for each installation= Included Send application and heat loss calculation with check for Permits to: CITY OF LAKEVILLE Inspection Department Notice: Box M Lakeville, MN 55044 Call for inspection when work is done