HomeMy WebLinkAboutMechanical 05-0624
40,dJ
CITY OF PRIOR LA KF.
HEATING/A THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/16/2008
Date Rec'd
:E PERMIT (; . 3-0. OS
~l6~ CJ Bftt t;". (20
~,cant I PERMIT NO. 05. () ~z4r
ZONING (office
use)
)5
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER Pc '
(Name) ) D
B rl1-t-t \ ClY'Q
(Phone)
(Address)
mss
~~=~~ANT C1Cn 1-. r2l j ()Jl
(Phone) qF)~ -7 Li7 - 1000
(Address) ;A:JUJ
I \ \
l/\.../ .
I
H'II',.1 i'~
VVlj I ...
(Address)
Bllyr(NI lie
(City) (Zip Code)
(Phone) crs,x-7 [0 7 - I ~ V /
(J/
CJ53'~-7
(Contact Person) lJr\'l
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
/-
I::>
IY\ D Ve. CCW.Yrk) Sn&\
Cl' (-
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 3q~u
$ .50
$ .,J-IO.W
(Office Use Only)
Date
Paid40.00
Date/?O c;-
f~..j .
Receipt No. #"7 Z 2-
By
This Application Becomes Your Building Permit When Approved
Buildine: Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245