HomeMy WebLinkAboutHeating Permit 07-0688 ,
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� � � HEATING/AIR C4NDITIO �ING/FIREPLACE PERMIT �
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ADDRESS ZONING (oE�ce
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LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDTI`ION PID
OWNER �
(Name) W.4,1�n ' __ (Phone) �Sis�—�{�(o -�-{LLOO
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(Address)
APPLICANT
(Name� � •� -� �, ��n,oc,�� Ocr.�, c�- F , P (Phone) ��03 � S� � - c
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(Address
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(Address) ( 'ty) (Zip Code)
(Contact Person) � C't S �tnYte,,�r� � (Phone) ���� - S��O °�c� � �D
APPLICANT SIGNATURE DATE
APPLICANT PLEASE COMPLETE BELOW
❑NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERAT
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR PO R ,
❑Warm Air Plants � S�� PI.EASE NOTE:
❑Gravity ❑ Hot Water Air Conditioner Units
❑ Mechanical ❑ Radiation Cannot Encroach into
❑Air Conditioning ❑ Special Devices Required Side Yard
❑Vent. System ❑ Other Devices SetbaCks
FIREPLACE MAKE AND MODEL N ���
FEE SCHEDULE
Industrial, Commercial & Multi-Fami(y 1%of job cost Residential, Gas Fireplace 539.50
539.50 minimum
Residential, Heating & A/C (New Construction) $99.50 Residential, Additions & Alterations 539.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only 539.50
. Estimated Cost $ ���� Building Permit #
HEATING PERMIT FEE $ �R . S D
STATE SURCHARGE $ .50
TOTAL PERMIT FE� $ �('�02�
(Office Use Oniy)
This Application Becomes Your Building Permit When Approved Paid � Re ei t No. �����
Date �. 3 l
Buildias Official Date G ` �
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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