HomeMy WebLinkAboutHeating Permit #08-0947
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~w Jl~icant I PERMIT NO. 0 e . 01+1
ZONING (office
use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
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(Phone) - _ 11' .7\\1 c..J
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(Address)
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APPLICANT
(Name)
Fl a.2 ~,DlE '~F\(l i\1 ~
2/00 FAIl.\JIL~ PN~ ,J,
Hov, C. (Phone) to ~ 1- (p ') 3 -/O~ L
~)eVlU~ lM..J "93113
(Address)
(Contact Person)
^
(City)
(phone)
~ (Zip Cod;2
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APPLICANT SIGNATURE
l\h .;ij
DATE
APPL CANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT ~ AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Oth~r Devkes
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FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
'1.,
J &)JJ;u,
Industrial, Commercial & Multi-Family
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ 44. iU
$ .50
$ ~~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin2 Official
Date
Paid S6, (It)
Dat11, 17.cJt
Receipt No. 57// j-
By
24 hour notice for al\ inspections (952) 447-9850, fax (952) 447-4245