HomeMy WebLinkAboutMechanical 99-0874
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
~O
".. $39.~
----
State Surcharge on the bottom of this application.
ing permit includes one rough-in and one final inspection.
will be billed at $35.00 each.
Record must be submitted with blJildinq oermi\ number before build-
ancy will be issued.
BfOUIREQ with number of supply and return openings listed per
,pening. New structures or additions send floor plan with supply
,own. HEAT LOSS CALCULATIONS, PAYMENT AND
8E MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
OR LAKE, MN 55372.
'1tUnHo
~. . .' . '. -,'
Date ?-Id.'~:'iS
Site Addreee J'i$IJLI
Lot . ~ BIodl <:' AddIliDn.'
OwMfsName~~8;(
Addreu J. tJ~1f "cOt-e
~ .~
::'~:~~1"~
Telephone' ..ki~~ ~"'-<1:1~~;"
Furnac. Make . MDdet .' ..~"-=-c-;",~;~","'
Model SIze
Conn. LoIid
. Two-Family
Industrial
I & Multi-Family
&AC
nly
,lace
& Alterations
Fuel
\."'" SiZ.
-'~"-~' "
Supply 0pInIngI' . '. .
Retum Openttlga. ~
Input-
10/03/2001
CLOSED DUE TO
INACTIVITY
s are 8 a.m. - 4:30 p.m.
Multi-Family
Public Other
Edt.
INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
Cfm.
a mechanical systems permit and I acknowledge that the
Is complete and accurate; that the work will be in conformance
and codes of the city and with the state building/mechanical
rm does not become a permit until signed by the BUILDING
work will be in accordance with the approved plan in the
hich requires review and approval of plans.
~
RepM
Eat. Colt,
HEATlGPEfllTFEE $
"'ir." .
STATE~' ,
IVIAL~FEES .
',.
ffieal's -signature
7-(;}. 7~
Date
:7 ~~/99
Date
c;q I,) .)-i'3