HomeMy WebLinkAboutHEATING 06-0438
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ADDRESS
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CITY OF PRIOR LAKE
HEft TTNGI AIR CONDIllONlNGI ~lKEPLACE PERMIT
FILE CLOSED DUE
TO INACTIVITY
Sent Letter
JULY 10, 2008
Date Rec'd
L Pink File
2, Green CiIy
3, Yellow ApplicaM
PERMIT NOo/)6 -L/3g
ZONING (office use)
LEGAL DESCR.1t' lION (office use only)
LOT ~OCK ~ ADDITION
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~~;;:e~ANTlll-ftt ~,t2/1Jdi7{!. (phone) 9JZ-Mn-;57"7OJ
(Address) J'1ztu() !iAt{)h!oIAJr/ Pel lAJifJ!c~h 6"5:372-
(Address) · (City) " (Zip Code)
(Contact Person) r<i.. ~ I (] ~ 'h G hone) ~ --.~.. 5L -Z"?J-
APPLICANT SIGNATURE A DATE ~ - '
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APPLICANT PLEASE COMPLETE BELO)V
W CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
EL FUEL
TURN OPENINGS INPUT OUTPUT
STEM REA TING OR POWER PLANT
(Address)
PID~Y /-3'-/ -!XJ 1-~
(Pho~(~-Lj:q74
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o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ ~~c:C>
$39.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT J:1EE
Building Permit #,
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~' n ,VO .50
.
$
$
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid
40 --
Dat~. db" b
Receipt No.
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