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Mechanical Permit 04-0622
lZ~~t~o~ FAA 81U.14Z4$ CITY OF PlUUIl I.AlU:; ............. CITY OF PRIOR },.4 J(1I' IlEAm-- LACl:PERMIT REQUEST FOR FINAL INSPECTION SENT TO HOMEOWNER 01-05 ~...........~ I ",-:; 9 s < )../ /J ,N.-!Ull (),J P D (;, JI 5 f ~ I U!GAL DESC1UP110N 1--...,) . LOT 10 BL.OCr / AOmTlON /JwI~ (iJa/2-<J /.c,r ... - ........, (Pboae) 9' {J 91 r; '793 1(' Da"~c'd :.~ ~NOOl-&d-~ I I ZONlNG(_~ I pmO?S-c)7~ ~ oJG-0 ~~~v (', 1 J.L})'l F'r^Q."~ r1 p~_ (AddmI> ~))t) 1''Y1 0 t1 1\ ,J\,;to (J ~Vr(jHEN HEATING & AIR CQNDITlnNI~I" o~~o 212TH STREET W. STE 4. =_1)" ::.;Z'~'~I;Y J,-- "" ..- APPLICANT SIGNA TUllE t(::! t 1 ~.(~;:~!~ :':w h - ) ry -I) Lf (]NEWCON!I1I.~ 16t1tEPLAC&GNT OALTElIAlIONS FUJUolACEMAKEAllI) ,,~',~_ "" Afl J'P). ~~s:n FUEL FUJE SIZE ~ I ( RETUaN oJ, ...,~JGS INPUT otTI'PUT 1'YPJ! 01' ...... """ HliAnNG OJl.l'OWE1I. PLANT E"irPllmt, 05- . ~H"\l/_ I;..,.., ' 1II"'1~. ~';5~'" '-~;;~30 =0::.... FllW'LACE MAKE AND MOI'lF.I. A1'1'IJCANT ~\ (Pb0llC) ~ 1/ 2J;).,O ' .S:; ~ ) -3 PLEAH NOTE: Air CoGditJoneJ UIlila ~~iIlto RocpaiRdSideYvd Sad-otltll . r"":.,, ..,\CoItS 1U..,...:.....1LlU l%oIjub_ II .;" .,,;. ,Goo f....... mso.:":",,, S9t.JiO . r" I" M.O~.AA'" "I., $64-'0 D f' '''' AC 01111 'Id) '\. Or;!') auildllal ~ /I $19.50 $19.50 539.50 __C.".",.",I.M""1IIIiIy 1I<1idolodoL~.NC~ ..." .:0Il) II,;". ,;,..~ODIy(NewC".., .:, , IlEA TING PERMIT FEE STATESUl.CHAllGE TOTALPDMlT FU s :3q !'n s .so $ J..If).{') C) ~ lIwOol.JI 1"IrIilA, ,I ..I" II.., . Y....df........WlInA, ,\ -,0IId0I - II'8lll 1./0 -- I 0IIe c./ ;J ;;rLf ~N0'~ R'64 I BYUi' I I 0" 11I_._"011: ..I 19SJl---....(lI5l)-_ DATE TillE ., rv OF PRIOR LAKE INSPECTION NOTICE ,WNER p/os-- _<;;?S-S- dq(k~ air ~<7- 90/ (74f'- 622. SCHEDULED -,ADDRESS CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL o FINAL ~UMBING FINAL 0 GASLlNE AIR TST o SITE INSPECTION )"MECH FINAL 0 COMMEI)A:lS: / I / ~ / I fi:,J1fie <<d t::V~.n-""- H'i' *-- /j/j J-r./ .'/// Ke/I"~ e." /&yX~Ce /- ~/ C A~ e r:;.>. '--'e / {/vcn:./ r/ kif ~ - " /" _....-; ./ CA'~ .6IAf R't.?,?,. h po ~ ~ ;:;::;, .,p;t"4C ~ h/#/ ,; .d// r=-- r/;,/' 1-/ ?' ~/L ;0" ()tf- / / () WORK SATISFACTORY, PROCEED , 0 CORRECT ACTION AND PROCEED . o CORRECT WORK, CAJ,L FPRMINSPECTION BEfORE CDVERING I' .:/v j L. ./ Inspector: / .,' ':;. OWner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <\ SAFETY! ,..,."., Heating Contractor Name of Tester Percent 0, Percenl CO Stack Temp, Percent CO, J~ ~sc; IItMo,i}4fi.Lt.- LJ?3IilV\ J~ (, .1 ')"'b~ <r,O[", O~1o 1\1' _J1o