HomeMy WebLinkAboutMechanical 01-0344
Date Rec'd
4-.23,0 I
(Plea.se tVl)C or orint md riG at bottom)
ADDRESS. .
\S~\l ~(~eL~ f>O\f\ -\- (U
LEGAL DESCRIPTION (office ~e oaly)
LOT BLOCK
ADDITION
OWNER .0 ....
(Name) (J.JQ.'-\. V\ L "~'l'VV\.o.. "'-
(Address)
APPLICANT
(Name) The (" It,Y\. Q"k Co ( f
(Address) ~S~'\ (Z.CLl-e.l~ ~e... ....s.~
(A.ddress)
(Contact Person) ~ ~ ~ l Z uJ \ or n P,... r
APPLICANT SIGNATURE ~<.. 0 ~ 7 IJ. J IA.^^--
~ ~~ ~~iCW \ PERMIT NO~()I-0344-
Z( II-rrNG (ollicnse)
121 SV
PID 2S ~ Oyo- rxf1- ()
r
(phone) I
. (Phone) 't 5(;) .9.'3(.). ,c4:,<b~
M D ,-, 5S '4 l ""'
t (City) ~Zip Code)
_ (Phone) q Sa..... Cf o-d ... o~bG:,
DATE Lf' 33 .e(1
-'I
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION -0 REPLACEMENT ~ AL"fEU nONS
FURNACE MAKE AND MODEL gy-~~~. P&<11\'\f\A-CbO Q01'0 eU .... FUEL )...)~4IJr"
~~ ~
FLUE SIZE 0.. aE11JRN OPENINGS . INPUT ~OOO b+u OUTPU1
TYPE OF SYSTEM HEATING OR POWER PLANT
tiSWum Air Plants 0 Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
,IBAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FEE SCHEDULE
I % of job cost Resiclential, Gas FiTq)lace
$39.50 minim\lm
Residential. Heating & Ale (New Construction) $99.50
Residential, Heating Only (NeW Construction) $64.50
00
Estimated Cost S Co, 500 ·
Industrilll. Commercial &. Multi-family
HEATING PERMIT FEE
5T ATE SURCHARGE
TOTAL PERMIT FEE
(omc.~ USt Orl
This c on Becomes Your Building Permit When Appro'Ved
. /' tY.?--).d I
Datt
24 hour notice for all inspections (952) 447-9850, fax (951) 447-4245
lOO~
aKV1 HOIHd 30 XIIJ
Rcsiclc:ntial. Additions &. Alterations
Residential, AC Only
Building Permit # 0 f. (}.344--
$ '3cr.50
$ .50
$ 1{(,,\W
-Paid 40, aD
Dat4.?;3.0J
G, "- r
.,
PLEA ~'IE NOTE:
Air Cl ~ditioner Units
Cann< I Encroach into
Requi::d Side Yard
Setba. :[5
$39.50
$39.50
$39.50
_:~~
StGtLttGl9 XV3 9l:tl NON lO/GO/tO