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Mutti-Famlly
Two-Famlly
In du$trial
Single Family
Commeroial /'(
Fee Schedul.
Industrial, Cornrnercji un;. Family 1 % 01 job eo:
Residential, Heating ~ $99.50
Residential, Heating I $64.60
Residential, Gas Firsl $39.50
Residential, Additions ~ teratlons $39.50
Ae8ldenlaJ. AC Only $39,50
. R~ to ... ... , . Su"""",,,... .. boItom of... ..........
\ ~ - of.... heel"" potmil_.... _.... ......., final...........
, Adclitlonal i'lepectrDns wit! be billed at $35.00 each. .
House Heafing Test Record must be aubmiUecl with buildDII. UIWIlIl ~ before J......
ing c:erllfic:a1e of occupancy will be Issued. "'UUd.
.tlm CALCULATIONS REOUJREO with number of supply end retum opening,lis
, room wIIh CFM's per openng. New structures or additions send floor pJan _ IU led Per
and return locations shown. HEAT lOSS CAtCUlATJONS, PAYMENT AND PPfy
~~ PPUCATIONS MAV BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGlE
. REEK AVE, S.E. PRIOR LAKE, MN 55372.
./ ,~City Hal busJnesl hours are 8 a.m. - 4:30 p.rn,
~ tyAlL WORK MUST BE 'PECTE~
447-9110
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Public
F..: (I52)447041C5
, ll1ereby apply for a mechanical eystema permit and I acknowledge"'t tit
,information alleve is complete and accul'8te; that the work will be jn ~IGn. I
with the ordinances and codes of lhe city and wJth the stale t!ulrdlng/1ll8Cha~~,
oodes; lI1at this form does not become a permit until signed by the BUII.DiN"'4\'
OFFICIAL: that the work will De in Jlr.t'.nmanr.A ...Jth tho ..._r"'....... ft'__ . G
YO<""" ".'..Ilnv'" n.........aqurnll:n",.ifi lind approvaf-OY plan-A: ...'
9
L CITY "AlL
TYPE OF SYSTEM
warm Air Plants _
Gravity
Mechanical _
AAr ConclllOnlng_
Vent, System _
HEAnNQ OR POWER PLANT
Steam
Hot Water
Radiation
Special Dwlc:es_
Other Devices_
TYPE OF WORK
Replacement N&w Construction
Aft CONDfTIONER'UNR'S CANNOT
ENCROACH MO SlDEYARD SETlAei
CITY OF PRfOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. () 0 . 0 787
Prior Lake, MN 55372 -
HEATING APPUCATJON I PERMIT
DaIo rft"t PIl. ZS-l<f1- tJ1J3.0
Site Address ~ Z- )-1/t YV/ ~c.."L.
Lot ~ Block -L AdditIon .::rAI"16S I.T I/1)()N.
Owner's Name_
AckII'8S8
Heating Contractor
Ad
'17-'
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Flue Size
Output
Supply Openings
Return Openings
Input
Ed,.
Cfm.
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382-7<C
Receipt #
Est, Comp. Date
- "'_ tium.IiiiiF...miri
39. 50
.50
+0.00
Alterations
Aepafr_
~.-..-;"~y
HEAnrxg PERtMT FEE $
STAlE SURCHARGE $
TOTAl. PERMIT FEES $
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