HomeMy WebLinkAboutMechanical 03-1117
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 11/03
Date Rec'd
b-ZZ.Oj
'ink File
ireen City
'eUow Applicant
PERMIT NOoQ3 -11/7
(Please type or print and sill1 at t w...._)
ADDRESS
J fR 3{p I n 0 V.fh wood RJ
AJ ~ 0
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID25: 1+/. 039. a
OWNER
(Name)
(Address)
(phone) L/Lf7~J 7(Plp
RATIO~S.~.
FUEL
OTP
Ii
ASE NOTE:
r Conditioner Units
FlREPLAC
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
()3-11/1
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
:< q. q 0
J-d&J
I
...-- "ffice Use Only)
Building Official
Date
PaidA/'l 0
-v.()
Daif. Z, l,.. 0 ]
Receipt NOI-5Z-+4-
By Ilt7--
/
Chis Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372