HomeMy WebLinkAboutMechanical 05-0797
THIS FILE HAS BEEN
CLOSED DUE TO
CITY OF PRI( INACTIVITY 4/16/2008
L{ 0 .~C
Date Rec'd
HEA TINGI.
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
J~icanl I PERMIT NO. 05. 0 m I
ZONING (office
use)
'J-e-PfCrS
R:l~-s
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER C t (" LL,
(Name) ,(; \ \e f)~ ~\ ~)) D Cj{'{\~
(Address)-rq ",' ' r v:'1 ~ B\ vrl
(Phone) qs ~ - Lfloq - (cQW
APPLICANT r
(Name)~iL -
lC1e\!if Ie- tvl rJ 2Y)JjL'
('F~ .'~/;1'7 IU'" 1'\
(Phone) LJ) - (UJ . - t,u
(Address) ~][(;
(Contact Person) ~
I APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
[]NEW CONSTRUCTION 0 REPLACEMENT ALTERATIONS Cjtz')
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
,
, C(Vy: v-
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVI:nt. System
D Steam
o Hot Water
D Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
. Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 0/7 5U
$ .50
$ ./-1 () . OJ
(omce Use Only)
This Application Becomes Your Building Permit When Approved
BuUdin!! Omcial
Date
Paid 1-tJ, em
Date r z '2, (j j
Receipt No. ~7 tfl <I-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245