HomeMy WebLinkAboutMechanical Permit #01-1322
FIRESIDE CORNER #4013 P.D01/DOl
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~::., ~:~ PERMIT NO.. /)
). y.... Appt'-'<< ~
_ (P1~ ~ or mint aJ1d. . atbotbmll
ADDRESS
/4~o ,$lA; /;.,".NJI.~.
LEGAL DESCRIPTION coma: UIC only)
LOT BLOCK
ADDmON
PIDo?5.,.- l:Jft- 00/--/,
~=k ~ '4F ~~
(phone)
(Addz.es$ )
'r,
APPLICANT
(Name) ALLIED F:t~SIDE DBA FIRESIDE COmlER
(Phone) 651-633-2.?61
(Ac1c1re..~) 2700 N. FIJ;;rtV:r:s:W' AVENJ:m ROSI.'V'T:r.T.~ 1D1 S" 11,
<Add1eIl15) (City) (Zip OJrk)
(Contact Person) a~DA HUSTON...., / (phone). 651-633-2561
APPUCANTSIGNATURE ~ 4~ PATE ~
APPLICANT PLEASE COMPLE~ J!, BELOW
.l9JtEW CONSTRUCTION 0 UPLACEMENT 0 ALTEMTIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
n t' J:, OF SYS l.r:.M
DWarm A;r Plants
o Grav fty
o Moc;hanigaJ
DAir Conditioning
CJVent. System
FIREPLACE MAKE AND MODEL ~
. --- -- --""7'M'ft 'ft'l" ~
REQUEST FOR INSPECTION
SENT TO CONTRACTOR. NO
RESPONSE - CLOSE FILE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbaw
J (;f..A:>
.-SL, ~CDD~
rndustriaJ. Commercial &. Multi...Fe.rnUy
Residential. Healing A Ale (New ConSb'Uttion)
ResidentiaJ1 H~ng Only (New Construction)
FEE SCHEDULE
1 ~ of Job con Resjdartll1, Gas Fb:1:pllux:
$39.50 mJnimum
$99.S0 Resid~ti... Ad~IIiDftS &. Allt:nLdonll
$64.50 Res;dcnpal. AC Only
$39.50
$39.50
$39.5Q
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL r 'Jf..Da., l FEE
Building P... ",. it II
S ~q ~O
S .5.0
S I j{;- eJU
.
Estimated Cost S
(omu Ute Onl)')
Tbls AppllcatiGb. Becomes Your Build'nc Permit When ApprovEd
Duildln. OfBd.f
Dire
Paid LIO /UU
Date/(_ dO-{},
Rece~1 Jr
-Sy d6
u
2A hour "o"l~ for allllllpectiOft. (95Z) 447-9850, f8:1 (951) ~1"'24S