Loading...
HomeMy WebLinkAboutHeating 06-0022 CITY OF PRIOR LAKE HEATING/AIR CONDmONlNGIFIREPLACE PERMIT REQUEST FOR FINAL INSPECTION SENT TO I :. .5.-IPE~'NO.O& ~~<< . .....i . HOM, E, OW,NER I 0- Olp IADD~=:B::)'<=~~~ ~A-Y e Date Rec:'d 0'0 Z 2-1 II ZONINO-"l LBGAL DESCRIPTION (ok tile oaly) LOT BLOCK ADDmON - 3 '7q (j.{ 3 OJ PlD 2~ _ ,.~ _ ~ - l. I&~~~_D, ~:~= I . \ ,(Address) t:- ~~._.~ ..:-_F~~-'\C.-?~ ~~~ '~. ~)~~~lc;~;2~j~~~~1. -2 I (phone) '1 (Contact Person) iPLlCANT SlGNATUR.B DATB V)1\S tl ...\J \,\(~\l APPLICANT PLEASE COMPLETE BELOW []NEW CONSTllucnON REPLACEMENT 0 ALTliRATlONS FURNAC..&M1\KE AND MODEL F'UEL E RETURN OPENINGS INPUT OUTPUT "'" r\.~\L--,,-j OF SYS1'EM HEATING Oil POWEll PLANT ~\~ PLEASlNOTE: Air Coaditicmor Units \/{ '.,\"-;J, ( B~- ~,~ \\5~~ j;l~_~: J\\;~~ rJ*OCVlces ~ E MAKE AND MODEL n~ SCHEDULE l~ of job cost R.esi_tial. Gu fircpl_. . 539.50 minimum . .. -''''' . 599.50 lWidendaI. Additions " Abendianl $64.50 . Residential. ^~ Only .. Building Permit #I $ 39. trtJ . s_~ .so S--=zJ!. ~lJ $39.50 539.50 $39.50 lndllstrial, Commercial & Mul1l-Family RcsidcnUal. .Hadns & AIC (New Col\tcnIC;doIl) Residential, Helling Only (New ConstnIcIion) \., Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTALPDMlTFD ,....~. ".~". ." GIIlce Use 0....,> II1aIIdlDI 0IIciII #4. '/. 5. It, o. 5/J16Z. " TIt.. Applicatioll Becomes Yoar BuIld.... Penult WJteD Approyecl Datt . Z4 bour notice for.1I iupectiolll (952) 44'''''50. tax (952) ....'-4245