P - 42265Building
Inspections
763-5'I2-3604
763-502-4977 F.
DATE 7l15/10
SITE ADDRESS a� � 11 WAY
THIS APPI.ICANT TS:
OWNER/
TENANT
SUB�1TT A COPY OF
YOUR STATf:
LICENSL' W11'H
APPLICATION
PERMIT TYPE
From: unknown Page: 3/3 Date: 7/15/2010 2:49:29 PM
MEC�IANICAL ��'�'t No.�
RESIDENTIAI. APPLICATIUN Receive � Hy:
CITY OF FRIDLEY °atA��: �
YOURF-MA►LADDRLSS a��davesheatlngarxieir.com
❑ OINNER OCONTRACTOR
N�Mg: SARBARA FiAMER
ADDRESS:
41 881l2 WAY ��Ty FRIDLEY s"l'AT� �N ZtP g�32
PHOIYU: 783-574-743T
COMPATFY IVAME; DAVE'S HEATING, AIR b BLECTRIC -
CON'PACT PERSON: AMY MADVIG .
STATL? I.IC�NSA# EXP UATE
ApDRESS:1801 BTYH AVE IJE CITy COLUMBIA HEIGHI'S STATE MN 21P �21
PHONR 783-T81-8901 pAX 763-789-8605
FAMILY � TWO FAM1i,Y
TITE OF WORK: � I� N�w �ri.aceM�r
DETAtLED
FBF� ARR BASEP ON
Equipment InsteNod
525.00
TO A1R BXC:�
LER 535.00
MNSY LINER
;rwoxKaio
o rowrariovsc
O ALTERATION/RG�MODLL
OF WORK �p�CE FURNACE W! G50UH-36A-070
PER F[R'MSR�, �XCRPT WHBfsI: NUTED. E'iX7'UR65: p1YDICATL� TQTAL NUMBF.R OP RACfI 6640Vh
MPfl: ►$�" N{ODEL: oeauF'�°a°ro SIZFJRTU ��,.
MFG: MODEL: _ __ SIZFJBTU
MFG: MODEI.: _ — SIZPJB7'41 –
FIREPI.ACE (OA5) 313.04 OAS RANQFIOVEN SI0.00
SIS RGP(.ACE (WOOD) 535.00 NEW GAS �RIl.L SI0.00
�RNACE 535.00 GAS UNIT HTR S 10.00
� AS AR�IBR SiQ 00 �„POOI, HF.A'CBR S35.00
vL:tdTi1.ATAR 515.00
Number of t3xtures {c� $14.00 ,�,,,,, , x S Ib.00 — � _ __ __
Number of tixtures (� $15.00 x�t S AO �$,�,�._.,.
Number of �ixtures $25,00 x $25.40 = S
NUmber of fixturess $35,00 ? x$35.00 �$ 3g•�_.,_.
St�tg Surch�rga = $ � U �
T hereby apply far il<
conformance with t ord
not a permit but onl an �
approved plan in th case
51GNATURE OF
�tBJ °� 4
THlS IS AN AAPI.ICATION FOR A PERMlT-NQT 1,ID IJNTI'L PRQCESSi3D
pennit and i acirnowledge that the informat' n a ova is comp{tte und accurate; that the work wili be in
�ces and codes of the City of Fridley and wi the innesota Construct9on Codes; that t understand this is
cation for a permit and work is not to start itho a permit; that the work will be in acco*dance w�th the
, _ . _ �. _ / _ w. _..
�j City of Fridley
Building Inspectiona Department
b431 University Avenue NE, Fridley, MN SS432
763-572-3604 FAX: 763-SQ2-4977
i