HomeMy WebLinkAboutHeating Permit 09.0959 Uc t. )0. 'PIO') I 1 : I INVI ) JLJ L.
C,,fir o: PRIOR tAKE ' Date Reed
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,.,40:,w' RV, ,,. TIN GAB( iCONI)1TION INGIFIRE PLACE rE..M
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NO 2 : F ' thtt , i gry L_PEittvirr No.40 A 75
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LOT BLOCK
----- ADDITION . _...._
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OWNER
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APPLIZ.C.,ANT itentraire
(Name).
(Address) 7 a. i i W w ash aw in d M A mt ventle ..._________......-- -
941-)04
(Coyagiet Person) .._ lefle4.- - 014-4- k-e- h.7.- (Phone)
(Pitane) "
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/ SIGNATURE If . -77 - -..._ DATE _I/ . ...,.. _._
A PLICANT PLEASE COMPLETE BELOW
DNEW CONST_RUCTION 15itIWI 0 ALTERATIONS
FORN.ACE MAKE AND MODEL c... 6 e e i Ae ct" r Vel t5 a ti a - I=-/ 1 gi.--- FUEL
.....
'FLUE SIZE 2. 4vc-- R E-rum OPEINGS INPUT
N OUTPUT
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_ _ _ —
'TYPE' OF SYSTEM HEATING. OR POWER rirANT
rucAsst NOTE: Air Conditiouer
jeWaxiii Air Plants Ei Steam Milts and Yi '- eplaees CamwEncroach
i
ty ' - • 0 Rot Watts into Itequired Side Yard Setbacks.
ing ices
El meattaical 0 Radiation lohtees with ifiox Additions or
UVent. System 0
DAir Condition n Special Dev
Caidilevexs to the Outside of BuIldings
Mac DOViCe3
Require a bottling Permit.
FIREPLACE MAKE ANT) MODEL ___1
.._...
FEE SCIIEDULE
II:alum-jai, Commercial & iviniti-Family It.% ijob cost ReadentiaL Gas Fireplace $49.50
$49.50 minimum
Itesidential, fir:sting & A/C (Now Consficoution) $149.50 Reside:1MA Additions & Altututi(,us $49.50
Rositionilol, Routing Only (Now Conatinution) $64.50 0.usidentiad, AC Only $49.50
Estimated Cost $ 36 Plodding Permit #
_ —
HEATING PERMIT FEE $
STATE SURCHARGE $ .50..
-
. . ., 'I'OTAI, PERMIT FEE $,,,
(Office Use Only)
..
This Application Itecontes Your Buttelleag Permit...When Approval a i , N
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24 hour notice fox sid tions (952) 44 '850, fair (b52) 447-4245
4(146 Dakota Sift( SIE., Moir Ls ' :- ta 55372
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