P - 35803Building MECHANICAL Permit No. � � .
Inspections �ESIDENTIAL APPLICATION
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763-572-3604 CITY OF FRIDLEY D��'�-��-�-=-�'-�k
763-502-4977 FAX E�ECT�z-i9-o9
DATE 9�8�� � YOUR E-MAIL ADDRESS dave@davesheatingandair.com
SITE ADDRESS �96 E BRENNER PASS
THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR
PROPERTY N�g: BILL MCARTHUR
OWNER/ ADDRESS: �96 E BRENNER PASS CjTy FRIDLEY STATE MN Zip 55432
TENANT 763-5740836
PHONE:
CONTRACTOR COMPANY NAME: DAVE'S HEATING, AIR & ELECTRIC
SUBMTI' A COPY OF
CONTACT PERSON: AMY MADV�G
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH ADDRESS: 1601 37TH AVE NE �ITy COLUMBtA HEIGHTS STATE MN ZIP `�21
APPLICATION pHONE �63-781-6901 gpg 763-789-8605
PERMIT TYPE �GLE FAMII..Y ❑ TWO FAMII,Y ❑ TOWNHOUSE
TYPE OF WORK' ��W �P�CEMENT � AI-TERATION/REMODEI.
DETAILED DESCRIPTION OF WORK Replace Fumace w/ M#G50UH-070
FEES ARE BASED ON $10.00 PER FIXT[JRE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOVI�
Equipment Installed MFG: ��X MODEL: �H SIZF/BTU '�•�
N¢'G; MODEL: SIZEBTtJ
Tg'G; MODEL: SIZEBTU
C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
TO AIR EXCHANGEER $15 ;IltEPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_BOILER $35.00 � _/ �[JRNACE $35.00 GAS UNIT HTR $10.00
CHININEY LINER $10.00 � r �AS DRYER $10.00 POOL FIEATER 535.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
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THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only plication for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the c e o all work which requires review and approval of pl s.
SIGNATURE OF APPLIC T PRINT NAME DATE t'� ''�
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c;ity or r�rictiey
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977