HomeMy WebLinkAboutMechanical 99-0196
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CITY OF PRIOR LAKE MC . . ~,.' .' . '. . .'. . . ,. " ..., '$;.~c:~lricIor'.:'~~,
16200 Eagle Creek All S E . i~. i 1.O '. . TYPE OF ~ I nUCTURE .. '.'::<,,,,,,~"":;,',~:';.., '>.:,
Prior Lake, MN 55372. . Permit No. . . , '.., . ~',':"\IT':;<,~:~:;,"l;,::;{'.'F;::,
..' ,Single FamilY;'~.:t,}i
'~..~."'::;' ,HEATING APPLICATION I PERMIT . ' 'X). ' " ">7"""""::
. "..' ..':.~;:':'o>.". '." :A'.. 'Iaar... . 1C:JY,I. -().03-^ .'-co..mmercral . ',.1\ " . Public Oth.e.r.'.:............~.....'.'.:'....'...-............'......o.......:....'....'....~..'.....'.'.'.'.....:......'....'.'.:.:.,.'..i.,.....:.....'....:.'.....;.'...'~.:..
Date~' ~ ~1 PID# O(J-'1a'P u '- ,', "">""",,,,"'.'.
'}~SheAdd~ess I tJ 0 <R6 h) E P/ k: e' LII Ir p T I- I RJ F~e Schedule " ',- ;'~<"~gx;:v:?r~~J~
" lot~1(5"B~ ZZ <i?Z~dhion IIJ V2- JUt \/c...(I~dustrial; Comm~rcial & Multi-Family 1%'of job cost ($39.'~6 m;~~J~) ;j,,;'
'." 1/ / /U , r J i J. . r ~ ) ) Residential. Heating & AC . $99.50
OWner's Name f1 () II <-... r 0 -S, A a h n .p r- h '- /7 (I rr1' ' 7 Residential. Heating Only $64.50
AddresS f I ;P 1 Residential, Gas Fireplace., '$39.50
, . J' JJ f .. 1'~j Residential. Additions & Alterations . $39.50 , '. '
Healing COnt_ h", " , n P 0 <iF (7.. ",: R8sidential, AC only . $39,..,....0 . .
AddreSs )~-S-2 I~rsllll,g <Sf ':5 ~ .4-./'rJr J..I//t'€;.' , . . 4r-'
.' J j ii' _ /' I <:? -~ Remember to add the~ S. t. a S~.' ar9. e .on. t.h..e..Pf.. '.' this apPlication"
Telephone # ..., . . / u-:: 'J 4- . . ,'f\ 'V-' .
Furna~ Make & Model tom ,y-"or 1111tl Iter-TYPE OF SYSTEM ~ ~ f'J SThe price of yo~r he t1 . ' it:O" u~e rOUg~-in and' one finalin~pection: '
- Warm Air Plants #l ,. U~ .- .
Model Size Gravity Additi al insp s wil bill $35.00 each,' , ' ':,'. ' "
Conn. load. ~echani~1 . u eating Test ~ w~ust be ~ubmitted with buildinq pe'rmit numbe'("bei~re build. .
Air ConditIOning L:... ificate oIriltCUZ::1 be issued. '
Fuel .Flue Size Vent. System ~ 0 '7
ur..-n...~ I"\ft nl"\'.'~n ftl .JI,. .
1" Supply Openings
,. . Return Openings
: , Radiation {V' . '''''tREEK AVE, S.E. PRIOR LAKE. MN 55372.
'.. Input '.' Output . . ..... '
, SpecIal DeVices City Hall business hours are 8a.m,- 4:30 p.m.
Cfm.
447.9850
Edr.
Other Devices
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - .CALL CITY HALL"'" '.
Alterations
Replacement
New Construction
'X
I hereby apply fora mechanical systems permit and I acknowf~dgejtiat the"~/""
information above Is complete and accurate; that the work will be in conformance":7.
with the ordinances and codes of the' city and with the state buildirig/meehahical~"?'
codes; that this form does not becom-e a permit until signed by the BUILDING.'',;';';
OFFICIAL; that the work-will be In accordance with the approved'plan in.the, '" :~
., easa o~ which raquira~ review and approval of plans, ,> :>7t!~';'- :.. :',:
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TYPE OF WORK
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TOTAL PERMIT FEES $
Est. Co'fP. Date.. .',
Building Permit #
~(. ~..;)
.50
4' O. e-v Receipt #
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RePair
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Est. CostS
HEATING PERMIT FEE $
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.' STAlifsURCHARGE $