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Mechanical Permit #12-0980
� ❑ ❑ , C� ❑O�O�D '� O D Zc� o � � o� o�� 3 ��zu,�°Og � � m� > ° � � � 3 r-c3z� Z � vn+i ��+ � � � m m y m y szyz p N o� ro � "� � � -�-I m 0 � = �� = O � � �n t/� � Z z p� C �° � .� � � n y � Z m � m � z � � � o � c� _ � v � m � o o ❑❑O❑�O m m m m 3v�n�;v '�,� � - N o v �c ��c �c z � ����_� m p c � C m � y� � � � m �'' r?�00 � � � � - o z z�� z � �° z � m ��°� � " v O N � a A O / �� O m �i � C n � y m � ❑f�000❑ N � 'r � Z z ���o� + '! i �' v � ����� � � � Z _mnn�� � � � � �7 m y�� = O � m - � 1 r- � W 0 • p4 :rR,�p� �ITY� C3F PRI0�.2 LAKE • Dafe Rec'd � HE,�,TItYG/AII2 C(?NDITIONII�tGIk'IR�PL,AC� P.�RMIT :� � i , _ ��Sflz� z ���� �E�rr r�o. , z- D 9�0 3. YcQor. ApptEant leasa e or rint aad ai atbotEom AbDRESS , . ZONING t�a �se) �` 7� � o�$�� � 4� % .'/ ,S� . LEG.AL I2ESCRIPT�ON (a�c� use oniy) � I.f.�T $LOCI� ADDITIQN PID (Na�ine ' -s�` -J � ��-� {Phone} ���— �� ��- {1�ddress) j�y�� o��/S /�,'� c� r-�.% S�= �. �c.f �a� �'l•� 5�37� APPLTCAAiT � (Name) �„ l.�h �`�i�'�r� �/�", h ,� y�R�;`.� C�'hone) •��—� —��-� — -�.�5'.A ��aa�s� _ � �� � - �i-�.��,��� s� , � --�4--� . � �5 5�s-z-- (Address) (CicY) C�P Cade) ' (�`ontact P�son} �l ✓� h' �`�- cc.-�- (Phone) ,�5� _ �- - .�.�Sr�' � APP�.ICANT SIGN'ATURB �- D �TE � °"�".3 /-�- . APPLICANT PY,EASE COMPLETE B�LUW � pr�w coxs�xv�orr p �z�c�srrr aL�z�a.T�orrs ' �UiiNAC� MAKB AND MOD$T. FUEL FLUE SIZB 12ETURN OP�NINCrS INFUT OUTPUT TYPB �3F SXSTI3M . KBATING. UR 1'O'Vf�ER P�,�i4NT ClNarm Air Plants PI.LAS� NOTE: Air Coud.itloner � ��� Uni#s and l�ireplaces CannptEncro�ch C1Gravity '•� ❑ Hot Water - i�iEo Required �ide Yard Setbac�ics. [� Mechanical ❑ ltactiation A�r CandIt�onin : Tireplaces witIi I3ox Additions �r CI g (] Speciai Devices QVen� Systein [�Otl�er De�ices _ 5 , h�-. C�►utilevers to tlie Outsfde of Buildiags , Require a Building Permit. �IItBPLACB MAKE ANp MODEL . FEE SCT3EDUL� • Industrial, Commarcial & Mulfi Family 1°10 of job cost Residantial, Gas Flreplace � $44.50 • $49.54 minlmtun . Residantial, �-Ie�Nng & A/C (Now Construction} $149.�0 R�csidential, Additions & Ali,erations 549.50 � Resi&ential, Heating Un�y (New Coast�uction} $64.50 Residen�fat, AC Onky $49.50 Estimated Cost $ �7 �' Building �.'ern�t # � HBA'�`ING PERMIT FEE $ �� STAT'$ SURCHARGB $ ��TAL P�RiYIIT FEE $ ���j . (Qtftce U8e Only) T�is AppJicai�on Becomes �our Building Permit Wlien Appraved Peid�� /� Receipt No. / /1 ,��.. !0 r ///''�'\� Dafe /L By � ( � ,� Bllu(u11Q Q�C181 . . . . . . . DStC . . . . r � /� "� ' 24 hQUr notic� for R]1 inspectlons (952) +t4? 98�0, fax (932) 447-4245 '� 4�4b Dakofa Street S.�., Prtar I.akr, Minuesata SS372 ' '