HomeMy WebLinkAboutBuilding Permit 01-0101
5~1
QAT. 0."= CITY OF PRIOR LAKE
1- /8-()/ BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FillED IN
BEFORE PERMIT IS ISSUED (Please f!.int or Type and sign at bottom)
2. SITE ADDRFRC::: .... - -
3305
3. LEGAL DESCRIPllON
lOT I
'Tl'1B
1. DATE
ol-P1-o\
~ ) Op- /,A,KE
BUllDIN
11. SIZE OF ST
;r\'~ I
/--0,< \ft IL "\ ~)L
\
6~
ID'Pth(Q I
~
12. NO. OF STORIES
PID 'b~~.~7~ -I)OI-D
J\O .9111 0 ..J
BLOCK
WIJ.f)S
13. TYPE OF ~':'~RUCTI2tl
IAJ.%f) I~
14. FLOOR AREA APPOFQONMENT USE
S'/",) (Q I-E. ~ Iv.<
...I.1a~-P
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
ADDITION
(Tel. No.)
n ". _ (Address)
'(ivrJ~.s:
5. ARCHITECT (Name) --".. .1.Address)
1J\ \~L '> ~O\ 'l>-V ~~
6. BUILDER (Name) --:? .. (AddreS~) (Tel. No.) "-
/VI n-\"€i.. s ~ I ~,-"J1j.U. S; ::5 Ii? j..( c. /1 /) tV, ~tV c..
~4d'5'" CJ,,-e. s:~\ 6Ts:r} It (f.,>:I) SS2-/'7'7/
7. TYPE OF WO~K./ Fireplace 0 Septic 0 Deck 0
New Constructio~ Alterations 0 Addition 0 Finish Attic 0
Chimney 0 Misr
4. OWNER (Name)
Mmii'LSlAJW\
(Tel. No.)
SEATF
Re-roofing 0 Porch LJ
Re-siding 0 Finish Basement 0
16. P~J~T ~TN~U~ (3
19. PROPERTY DIMENSIONS Li 110. CULVERT SIZE 17. ~PtETION DJ"E
Width ~s- Depth ";;I$", Yes No :::> 11.. <1 ~ I
information on this application which is to the best of my knowledge true and correct. I also certify that I am the owne or authorized agent for
truction will conform to all existing state and local laws arlCl will proceed in accordance with submitted pi s. I am itare that the
it f t cause. urthennore, I hereby agree that the city~~~nee may enter upon the property toeto ( IO\ons.
S~nature License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FilED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
i:t
Side
Baok
Side
Front
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~'<;(")~.ry")
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
.5~
USE OF BUilDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... ................... $
Sewer Tap ................................... $
Pressure Reducer ...%.................. :
City:
S U
~./)I)
I, 15/) r<) i)
(.t7a\ .'lS-
!; I I ~ . ,<{-
11~.OO
Permit Fee ................................... $'
Plan Check Fee ............................. $
State Surcharge ............................. $
I./f; .ClCl
Penalty ....................................... ~
~\
~'V
loa .0-0
Meter Horn ............ ....................... $
;e::r~~~t~;.;~~.~~~,;~~~~~.:::::::::::: I, d~~:g;
WalerTowerFee ........................... $ r-z (J () .(')n
Water Tap ................................... $
Builders Deposit ..................::..:..... $i. <=)a C). S6
,
Other ..... ................. .... .... .... ....... $_
Total Due .............................. $ B, 00/. 3{
Paid 6:f3{)/. 3/j ReceiPt~ .3113)
Date 2.2.1.0/ By /P"'--'
request in the above appliCation and accompanying documents is in accordance with the City Zoning Ordinance and may proceed J'requested. This document when
erconstitutes a tamporary CertiJi"ftej~orjltg compliance ~s const ion to comme Before u a Ce~ Oc~'C;; m~
. ~~. .
lanner Date Special Co ens ~ any
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee .....".............. $-----1(J() .Ol:t
3S .50
tic . 00
Sewer & WaterPennit ...................... $
Becomes Y r Building Permit \",hen ~roVed.
Dale J-'1. -?>I'lr1(
This
By
";ertificate of Occupancy
,Ued
24 hour notice for all inspections (952) 447.9850
Tht Ctnltr of tht Lakt Counlry
White . Building
Canary . Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M I I I t;,LS--rAE,D I
1- (0 - () I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r::nx TA {L- -n2-A I V
,-?DJ 5
V
Accepted With Corrections
Accepted
Denied
Reviewed By:
LLL-
Date: 2 - Z J - 0 }
Comments:
See Reverse Side for Additional Information!
.r~"-.\
... " '! ~ '. ".0 ~ ; ....
See Attachments: h dradinq Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
D\- DIO\
Th~ ('en.... of the L.k.. Count!'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CH.ECKLlST
NAME OF APPLICANT
M I I I t;-LS-rAED /
1-(0-~O I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3Z:D 5 r:;nx fA I L- TRA / l---
Accepted
Accepted With Corrections ~
Denied
Reviewed B~ ~\ ~ Date: I - I '\ - LOC I.
Comments:
fuo.& ~ oj\-~ Lot~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
02/28/01 WED 12:00 FAX 6128902753
STOCKER EXCAVATING
14!I00l
UIllU . ......
"I.LLOW . ....P'l&&.-r
c:at..D - Cl'Ty
CIT~ OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO. nl- OW r
SaloJer and Wat..r
eontractors must
be registered
with the City.
APPLICANT: DD Mechanical/S~ocker Excava~ing
PHONE:
890-4241
ADDRESS: 8}f7 We9~ 12~Sth St :.Stw~~"'-
SIGNATURE:-k'/... tk_ ~~
v
SITE ADDRESS: ~'1.nc U"..._ "'-:-~" '"~_:'_"
MN
~~l'I.LDATE :
2/26/01
BLOC:;. PERMIT II 01-0101
PlOi
FILL IN THE BLANKS
1. Estimated length of water service
feet..
2. Size of water gerviee
ineh(es) .
). Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
pVC y
cast Iron
5. Estimated length of sewer line
feet.
6. Clean out
strueture.
(if required).
located at
feet
from
ap=~=~===========~5_______5____=:____~____~=~_______============m
This appliea~;(~7~mes your parmit when approved.
BY . /~. DATE: 3-z-01
~=====:~=~~~~~=_b_~=___=~___~===____----______~_________________=
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
. Fee for either s.e.....er or water individually is $20.00 plus
$ .50 surcharge.
. Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicata sewer and water permits are
issued. .
DATE PAID
RECEIPT #
AMOUNT PAl D PAID wrt1i......
BUII.1Ju..a i'E:. oWlH .
REC'O BY
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota :5:5372/ Ph. (612) 447.4230 I FAX (612) 447-4245
An Equal Opportunity Employer
_......'"' ........... ......_..... "_"",V
~~~~ V& ~~~VA ~
If::J UU.L
-
CITY OF PRIOR LAKE
\. 1Uue'" fik:
1. 00'" City
3. Yellow .^l'f"liCMI
_ 'J<.fftlfrfltl....r..hC'OUIU",
~/0;(J1
PLUMBINqPERMIT # nl-()IDI
APPlicant:Va@k fJ/Aj 1!tJ /1;u9 ~ Phone: ?.5Z~(/{l2/Z/?/
Address: f'h~ /lVd Cr/ r )f;J.I e--:~ 2'Ldft.L.-lft< ~ . <-<J'd' C
Signature: C 1 LA ()1w--- .
legal Description: Lot . alock Sub
Site Address: .3J'06" I0k 1'/);; ;1';17;;
Building Permit # OI.OIOf PJD# 26<3"75-00(-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity " Type of Fixture Quantity
;J Bath Tub with or wlthoul shower -3
/ Dishwasher )
( Floor Drain
') lavatory (bathroom sink) /
I laundry Tray (1 or 2 compartment sink)
/ Shower Stall
I Sinks
Bar Sink
3 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
8ack1low Assembly (RPZ, Double Check, PV8)
Backflow Assembly Test
lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
ResidBntial, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$.
.50 \Nrn-\
pJ>.\O f'E.~iIh\1
eU\\.O\tolG
GRANO TOTAL $
This permit is granted upon the express conditioo lhat said MAR I 5 2001
eontrnetor. shall comply in all ,c.'poets with lhe Drdin.,nee,
of the St~tc Plumbing 0 t c amendmenls Lhcrcof.
..--........... RF. 3.77.0 I DATE
ATTEST
I
Call for all insp lions 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
.___~m ~._'_'_~~".____"~'__""'__. '"
N
o
o
-...
~
o
o
Po
CITY OF PRIOR LAKE Me
1620lt Eagle Creek Av. S.E. Permll No. () 1- 0 r 0 I
Prior Lake, MN !i5372
HEATING APPLICATION I PERMIT
Dalo 3jL,rjrv PJ[H "2.S" - 37'5- 00 (- 0
Silt! Mdrass 3.:t>S~. ~J
Lot _ Block Add~ion
Ownlll'sName~ ~.r.
o
'"
'"
~
..
Address
Hea\inoConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N. FAIRVIEW. ROSEVILLE. HN 55113
Telephone/! _ 651-633-2561
FIREiLACE .Ak
lMJIIItl Make & Modal III N r..b
Model 5iz... ("a:JD'rYI.-
'"
.,
~
o
u
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Condllloniny
Vent. System
HEATINO OR POWER PLAtrr
Slaam
Hol Waler
Radilllion
Special Daviee.
.,
<>
H
"'
.,
'"
H
..
Call1l. load
FU"I~
Supply apaning5
Relum Openings
Aue Sll.e
..
ro
ro
ro
Inpul
Edr.
OUlput ::n 00"
Olh.ar Devices
M
M
'"
elm.
~
'"
'"
TYPE OF WORK
'"
M
Allar alions
Rapla&emelll
Ne.. Conslruction
')(
ro
o
Repair
Est Comp. DallI
.?I.HIIOI
I I
~
o
o
N
'"
~
Iloo.tb
8W1ding Permit ,
Est. Cost $
.50
PAID WIiI-\
BUILDING I-'E.Ri..j,\T
HEA T1NG PERMIT FEE $
STATE SURCHARGE $
TOTAL prnMITFEES $
'"
;j
Rec9Pt ,
TYPE OF STRUCTURE
I.Pii1l1
L-..
LV_
I\l<
QIy
c-_
Single Family
Commercial
Two-FamlIy
Induslrlal
Muhi-Faml!)'
PWlic 01118<.
Fee Sch8dula
Induslrlal, Commen:lal & Mulli-Fmdy
ResldenUal, Healing & AC
Residenlial. Healing Only
Reskl6lllial, GlI& Rreplace
Resldtllllial. Additions & A1IMatlons
Resldenlial, AC Only
I % of job c:osIlS39.5U oinImurn)
"9.50
$64.50
$39.so
$39.50
$39.50
Remembor 10 add Ihe Slsle Sun:har!l" on the bottom ollhis 8pplicBlion.
The priC<l 01 Jl'Ul heating "e"nil includes one mugh-in ..d OM linBl inlpeclion.
AdlfiIjanBl inspections will b9 billed B\ $35.00 ellCh.
House Healing Tesl ReaKd musl be submil1ed with I!!liIlIiDllI!mlllIll!Dlll:el. before wid-
ing cerr~icale 01 oocupallCy wiD be issued.
HEAT CAlCuurnONS REOIIIRRJ. wilh number 01 supply and relllrn openings IisIed Pf
room wi1h CFM's per opening. Naw s1rUdules or addllions S1lnd n_ pIBn with .upply .
and .elum locations shown. HEAT LOSS CAlCUlAnONs, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CllY OF PRIOR lAKE. 162.00 EAGLE
CREEK AVE. 8.E. PRlDR LAKE. MN 55372..
Cfty HoB business hours lUe 8 LIIL - 4:30 p.m.
,
ALL WORK MUST BE INSPECTED IRQUGH~N AND FINAL) . CALL CITY HALL
447-4130
I hereby apply for a mechsnical lIyslems permil and I ..cknowfedqe lhal the
i"lorma60n aboye is complele and ..c",nale; Ihat the wOlk will bo in conlormance
willI the ordino"ceG and codes 01 I". &fly end wilh th.. slale buildingfmechanlca
codes; lhallltls lorm does nol become a permil unlil signed by tha BUltDlNG
OFFICIAL; Ihat Ihe work will be In accordance with {hI> approved plan In tha
~"l::..' "'1;;;" ...~ m' ..~W.. .. '':;r,t,
, i\ppll SIlI\lalure Dale
J'iAK L. I LUU!
Dale
FROM : 5RBER Heating and R/C
PHONE NO. : 6124738565
Mar. 13 2001 12:43PM P2
...",u.,.. ...n&ol A,tiil:ll r'A.L Q~':;..f"..U "..... - ~&a..._ ....-..
J I 1 -
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r IJIIIII · Ii n .lllh! t~lil
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a
9 '7' .....J \)\ J 'i
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If ~ ; ~ 1 ~ ~,,) ,
~II ~'j ~.~ 1I1 ~J ~ ,-! f I AI II
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~ I , ! J I f '11 J I j! J J . ~I J J IIII
--"".._---,._,..,._~.._---_..".,---
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ ~ r Jac'! <J;:", :/
NATURE OF WORK JJp.....)
USE OF BUILDING . S Fr'\
PERMIT NO. n I-n i 0 1 DATE ISSUED 1-21-200/
CONTRACTOR t'I ;it::;[~ ~ . th,q PHONE :5S~- /7')/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. . INSPECTOR I DifrE
I :=OOTING I 13. VOW( I RJ ().~! of ,
';::OUNDATION(PriortoBackfill) I E.V(W,r' ~1a.J61 I <gV~ 3l.OS-}Ol
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC 'E.VO/oMf "3/1)01
.
FRAMING ' , ,. )
iNSULATION -:gJ)~ ."<1~t~~
/ELECTRICAL \
PLUMBING t(3 ~0 (i,WJ .~.I&3 Dl
HEATING (if required) ~~0M' 3'Dl3fl
FIREPLACE ~ ~V~ g ~ 101
GAS LINE AIR TEST ~ j(l.ve/ ~1.5l'~IOJ
, .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Lf/g
t)t...'.\\ flAM,\
'f... .VllAMr
"0 \ ) /hh\
OCCUPY UNTIL ABOVE HAS
NOTICE
"
GRADING (Prior to Sodding)
BUILDING ~
ELECTRICAL
PLUMBING
HEATING
DO NOT
7- 51-" I
SJ/~ ),
I I
6')~ }l(1
r; 11.10 \ .jlfl
BEEN SIG~ED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have b6all 2~?roved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
-
'-".-'i
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S30 S
SCHEDULED ~/I(j/ol
I I
~ t^IL Tl<.,
A.;,/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01 - D ICi l
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
/lPFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
t
S"'t,11
'L.s;..;c.& C:.O.
I
(' JCX;e.- f-Z-Ie,
,rORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOlf' CALL FOR REINSPECTION BEFORE COVERING
Inspector: '::t; \ ~ Owner/CDntr:
CALL 447-9850 Fok THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNQTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~ 3<15-
Fo x Ta.j
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
r'r6!fPLUMBING FINAL
o MEcH FINAL
COMMENTS:
DATE TIME
s- '1~O/ 1/,' 36
J Tr-
0/- 101
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
t~~Jwf~
v1I\.a.-w> INV';\-p,.r () V. I I
~-PnJ~IAA;~~r d~
"
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ,cfLL FOR REINSPECTION BEFORE COVERING
Inspector: "K - V (1 J.AlJ Owner/CDnlr:
CALL 447-9850 F~R THE LEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
51h.CJI 1 :3 0
ADDRESS
3305 FoX: mlt.- TJe.Flr V
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
.gJNSULATION 0 SEWER HOOKUP
Pr ~FINAL 0 PLUMBING FINAL
o SITE INSPECTION ~ MECH FrAL )
COMMENTS: 10V\ B } ~ l 0 I
~ y -evvv--~ + . nIt Je,
tJl- 0101
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~A,\\. ~ftroJ~ \o{
11\ €.-v\.
Sl')~_ ~.. +{~e..s. r-v 6-MdOpMjO~t-
:..L 5:> ue.- -t e.v..vD e-.. 0 _
u
G1-u
(
TISFACTORY, PROCEED
T ACTION AND PROCEED
o CO CT WORI, CALL FOR REINSPECTION BEFORE COVERING
Ins ctor: ~ _ \ {lJ)..fJ Owner/Contr:
CALL~\HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSJIiOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-31-d I'M
PHONE NO.
33o~ Fox-k:; Irf
CONTR. IYI.' +f ...fS1-q {J+.
PERMIT NO. (t) 1- I {J I
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
\)QINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.;Ii(EXlflSADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
L-u~1a Bd.... - OK
r; r.. d/"" ~ c9 K.. -
v
J><..,WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
InspectDr:d~ t! - Owner/CDnlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
o
ORSAY-TESY-n- --_
Job Address_B ~~C;; ;;"~/4JL t.rL
Heating Contractor .5>1 B/'o fI 1/A r
Dato 5/;~ ~ Pressure 3',.5
,
Percent 02;?- PercentCo---,ttJ"
Percent CO:> 8' Stock Temp...L~ ;;>