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HomeMy WebLinkAboutHeating 06-0852 5" ~~ 0 000000 "tl ~ > -0 z- (fI 0 :x: 0 ~~ "0 (II'TIz'TI'TI'TI 0 Z 0 ("'l (1) o 0 g ::j%(II~OO z ." 0 ~ m mo 0 > ~ :;a g ~>C:3:~S m ." m 0." tl r- :"1 m " %r->-o- % (II :1"tl t!l r- o (II m ~ :1S~S 9 (II :.a ~ -I ~ % 0." t!l %- -4 rn 0 - zO to > - 0%0 S . o (II (J) -I % 0'" cD -I 'TI co - > (5 ::1> \ en o 0 0 % -I % 0" 'TI > 0 .\..... mm 0 % ~ ." o - .t:: ~ -I "tl "tl ). :x: ." ." ~ ~ rn 0 0 000000 % 0 ~ m rn ~3:"tl(ll~3:"tl ~ m 0 mE~>mE :.a o -10 ':< (5 Z ~ _ :r. 3: rn :r. 3: "tl 0 (II ~ (II (' 'TI 2! :;a :;a :;a 2! rn 0 0 ~ "tl ::l \ z%:t:t-% ." % :x: ::! rn ~ >G')oo G') ~ -I m ~ 0 0 r'TIOO :;a ::j ;0 0 -I 0 zee - c 0 ~ % r % ~"tl"tl 9 m ~ 0 N . ~ :x: ~ 0 c G\ ." 000000 (II S' \-;-~ ~ Z G')'TI'TIom K'. > >--o~ Roo l!!~~3:G') ~ ~rn ~ ~ _"tl"tl"tl~ ~ ~ > ~>>>o z >ooz=n \~ 0 ~ !" _mm-l- -4 "''TI'" r- -1-- r i (11% Z rn -I~ G') CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1. 2. (), d 0 ; :';;'e:n ~:~ I PERMIT NO. 0(,. 0 ~ 5.~ 3. Yellow Applicant (,I B-- o 6ho.{\ \:)~ \" r ZONING (office use) ,o1'HU~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 2$. off,. 6 Of, 0 OWNER (Name) ~nald ))..-LC,e. (Phone) ~ 51.-4 4 5~~4l- 11 APPLICANT , (Name) D u~~ COYY')fXM1l~.5 (Address) q 30 ~ ~O+~ 5+ (Address) (Contact Person) .::re.Y\r\; .C~. V'" APPLICANT SIGNATURE (Phone) Q.52" ~~,,~<&OO 'BlCbm'\~n '5~411) ~ (Zip Code) (Phone) Q52. -/0 ~.. S'1Q 3 DATE q-t q -O<t> NT PLEASE COMPLETE BELOW INPUT HEATING OR POWER PLANT o ALTERATIONS FUEL ~* :f-S OUTPUT a..__ . \ DNEW CONSTRUCTION UO\ -ev-- - . ""\ ...EI n>l'L\CE MAKE AND MODEL \ \\~ \ \ ') \aD.. FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM o REPLACEMENT bc\a \ \6 DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System o Steam ~ Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential. Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & AIC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ J 51 Of) 0 HEA TING PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE Building Permit # $ 39.5""0 $ .50 $ 40.00 Date 4f;,rIV vl,flb '" o. Sz,1'1 (, (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Buildin!! Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245