HomeMy WebLinkAboutMechanical 05-0640
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THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
)R LAKE
.\JC;/lfTDlfPT ACE PERMIT
Date Rec'd
AL
INSPECTION SENf TO
HOMEOWNER 11/05
~:~ I PERMIT NO.O~. 0(04-0 I
Applicant
ZONING (office
use)
Ud CfHY'\C- /\V{. S[
LOT
BLOCK
ADDITION
PID ~_ C/O/ (JoB. 2..
LEGAL DESCRIPTION (office use only)
OWNEJ') e; -, (\ ~
(Name) / . \(4 I ,ei
PDOls
(Phone) q.5 ~- qLj/-loug1f
(Address) (lJ;~LfU W t\ Ll)(YIE- A-uc ~E:
APPLICANT (' )
(Name) L1_Cn1-- rcljLUl
(Address)f) :/j(I, I l \ 1-.J-w 1 I ~l
,,^~?0U G~. l- 1\ 'L'j --:-.J
. / (Address).
Kr~ /\VrlIL
in lAJ!i!J DATE
APPLICANT PLEASE COMPLETE BELOW
(Phone) qF)~ -7 if7 - 1000
(Contact Person)
APPLICANT SIGNATURE
DNEW CONSTRUCTION o REPLACEMENT ~L TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants o Steam PLEASE NOTE:
o Gravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
iAir Conditioning o Special Devices Required Side Yard
yent. System I hfCdE,v o Other Devices Setbacks
Vent- roo
FIREPLACE MAKE AND MODE
Industrial, Commercial &. Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
B 'ld' P . # tlL''; (JC; 4-0
UI 109 ermlt ....., .
$ '3 q "'5U
$ .50
$ .L{() W
(Office Use Only)
Buildin!! Official
Date
Paid A'~ 0 '
yv, 10
Oat ." c,r-
Receipt No, 497..3/
By -1
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245