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No 10714
~ ~ \ -.h ~ ® # 1f! ~..i ~a City of Lakeville HEATING PERMIT Permit Fee 29•~~' ReCel pt State Surcharge .50 TOTAL FEE PAID 4~nr~ Permission is hereby granted to f;c~ntefl7 1 ed A ~r / Tna aii 1 l cr r.,,,e+~ Building on Lot No. r Block 6 Subdivision DOnnavs Va11e~ Park 8th Addn ,?i?2-?1177-O~a~--{~fi Plat ; Parcel In the CITY OF LAKEVILLE to be used as t- r n 3 y~,ct a l 1 3,ao ~ r i r ~eya r26F}8 c~H~z~ e This permit is issued on the express condition that the ~~RECTION -~4LTERATION -REPAIRS" ENLARGEMENT -JVIOVING _~EMOLITION 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 -~-~-343 Far^xy Gda~ ~1Pnn Lan~:o~d Director, License and Inspection Attention is particularly called to the cutting up of streets, making main sewer connections, driveways and curbs. ObtainpermitforsuchconstructionfromtheClTY ~ t 1 OF LAKEVILLE. Inspection Department Not Responsible For Any Damages to Public By l~=T~ r"'. Utilities. f CITY OR LAKEVIL,i<C Date td12~ t CITY OF lAKEVlLLE fl~'4T • 2osrtl si: w • soot M f,AKEVlLL>r. 1,IN 5604 INSPECTION DEPARTMENT - _ APPLICATION FOR HEATING PERMIT Site Address : ~ Q Alter r Repair Install Repair Legal: Lot e~ _ flock Addition MAKE ~ • ~ TYPE OF SYSTEM SIZE- ©~o~ Worm Air Pfonts CONN. LOAD. Gravity FUEL_ ~a~ .-~c S FL ~ t r Mechanical / I UE DIA. Air Conditioning SUPPLY OPENINGS Vent System RETURN OPENINGS ~ , Heating or Power Plant INPUT ~ ~ C~ ~ ~ Steam OUTPUT Hot Water EDR Radiation CFM - Special Devices. Other Devices Plan No. / S Dote _ ~ b Est. Comp. Dote Est. Cost Heating Permit Fee Gas Piping Permit Fee Total Permit Fees 3®-~ , Owner's Nome ~ o ~ ~ ~,2Y' ~ O'(1 Akddress ~ ~ `3~ ~ o. ~ y ~ Heatin Contr for ~ © fl~ S O r'1 9 ~ 'f;' Telephone: u.lpQ ~(Q~ 02 Address -4 ~X ~ City Zip Heating, Air Conditioning, Ventilation 8~ Refrigeration Permit Fee for single family residence in- stallation $29.50+, SOsurcharge,______ A~terotion or Repair Min. Fee L5_.SQf..S_Os urr_harg~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ $ Non Residential Fee shoA be computed of 1 % of the contract _ x$24 , 50+. 50 surcharge ,Minimum) Gas Piping Fee for each installation ~?ne luded _ _ _ _ _ _ _ _ Send application and heat loss calculation with check for Permits to: CITY OF LAKEVIILE Inspection Department Box M Lakeville, MN 55044