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Home My WebLink AboutMechanical Permit #12-0785 � ❑ ❑ `Rl (� ❑O�OO❑ � O D =A �' � �� O N�,=�„�, Q � v �� n � a °°% p� 3 r�i �a';°co m m m np o � o � A� 3 r Z � y � � � � � > m �' S � D " � � �� z � � z- b � � D v��i N n Z z Z � � c� � � O � � � D o z "_ m� 0 m � O � Z � -� � ° � � x ��II''�� rn � � � 0�0000 � '� x r^ m m m� � Z � o o "` ,=i ��_� m O , A � � � � � �CfOp�� 3 � G � A n O � r'a7OC7�C 70 � . C � Z ? t�ti , ^ r�� , � � A � �` _ � � A N � y m 1�OOODO 1 � � 0 � �� (� � � > �m�s�� \ � n >_mm�� r" �� r � �� , �.,� � F ��, � ^ o� r Rlo� CITY OF PRIOR LAKE Date Rec'd � 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT � � �� r� � � � �jNNES�� . . . . . , . . . � 1. Pink File � � �. � � . .. . � � . , � 2. Green c�t . PERMIT. NO . � � �— � r'� , � � � . � � � . � , � . � �� 3. Yellow�� APplicant a � lease or ' t and si n at bottom '' ` ADDRESS _ ZONING (otlt'ice use) � rc f: � ` �� -��....t �. 't��..t 4 t�JV.� � LEGAL DESCRIPTION (office use only} LOT BLOCK ADDITION PID ( 1..� ! �'3 � � ,� (� n (Phone) � " �� '� �� t ' (Address) � � _ , _. . �. : • l; 4 . .. d �. ( t. } , 1 � �. ' . .. �.c ��* ..A . .'. . _ 'Fy' ,. �.. > ..� i �:::;f, .. . .: . k � �. ..,� ,. .�_ . l _.' ; :.�. ,._. Y � . . . , � , . .. . ..,..' �:: . , .: y _ �ame �� '�'� (Phone ��'��' ``1 � ) ) '1 (Address) ' � � 'e'� � �� .,1� �- `�'� �-� � �� (Address) ' (C' ) (Zip'Code) ' (Contact Person) � (Phone) �Q_, � '� l.�'��r.`�,1..� 1,.� � ; � ,' ApPLICAIVT SIGNA , � _ DATE � 4 � � APPLICANT PLE E COMPLETE BELOW '� . '' �NEW CONSTRUCTION REPLACEMENT ❑ ALTERATIQNS .� I � � � : �,, : FURNACE MAKE AND MODEL FUEL µ , , . r: _.: FLiJE SIZE RETURN OPENINGS 1NPUT OUTPUT � TYPE OF SYSTEM HEATING OR �OWER PLANT PLEASE NOTE: Air Conditioriex ❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encfoach ❑Gravity ❑ Hot Water- into Required Side Yard Setbacksy.� � Mechanical [] Radiation � ..� Air Conditioning �❑ Special Devices FireplaceS with Box Additions or Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings , Require a Building Permit. ' '' F�REPLAC� MA�'AND MOD� . , ,,. :: �., , , .. � ' ; . , ;�. � _ e . : , .; .. i FEE SCHEDULE Industrial, Commercial & Mu1ti-Family 1% of job cost Residential, Gas Fireplace $49.50 • " $49.SO minimum , Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50 Residential, Heating Only (New Construction) $64.50 �" Residential; AC Only $49.50 } Estimated Cost $ Building Permit # HEATING PERMIT FEE $ �-- " � (,! ,� STATESURCHARGE $ ° � TOTAL PERMIT FEE ` $�, �"C� � (Affice�Use Only) � � This Applfeation Becomes Your Building Permit When Approved Paid � Receipt No. -� 4 , .� � �� p Date By Buffdine Official Date 24 hour notice for all inspections (952) 447-9850, faa (952) 447-4245 s: 4646 Dakota Street S.E., Prior L ke, Minnesota 55372