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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