HomeMy WebLinkAboutMechanical 04-0594
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IREPLACE PERMIT
Date Rec'd
HEA' THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
i S:w ~!~icanl I PERMIT NO.6 '-!~ 590/
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ZONING (office use)
/512
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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OWNER
(Name)
ES4hL1/ 5-1ltrJ &I/;J,
55!
(Phone) r9 LjLt7-&1db
(Address)
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(Address) j3!3&d ~~A ~
(Address)
(Contact Person) tt:~/ b.
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, (City) (Zip Code)
(Phone) v/.,2 ~3d/ ~(13tJ90
DATE ~3 ,-/1
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
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
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Estimated Cost $
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Building Permit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ;BCj. S()
$ .50
$ yO, c:t>
lice Use Only)
. rhis Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372