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HomeMy WebLinkAboutHeating/Air Conditioning Permit 10. 577 5 0 00 0 000000 " 0 > 20 § > \\§ jk ° k m ) m > o r ■kw 73 M �k © r e m z> 2- 0 z z - 0 § 4'. -I -1 > ..... / § 0 0 P � § % *> m � \ o z 2 2 m \ 03 73 > 0 0 z q q m \ 2 � y § \ 7 - - - n 'n $ Z 2 000000 m § m q q ® *013 2 §° ° 2 ° � § �� E N. ® z i m §m§23§ m 0 0 \ 2 ® , m £ zzll z X z I • 0 0 r %R§ %§ F 0 § 0 / > q C Z 0 2 g. Ca �� P O • k 0 m \ 0 2 C/0000 ® m G , \ o ti • / 0 .� ( k § k� Illi j 0 m . 4 _ m ®\ e 0 m p CITY OF PRIOR LAKE Date Rec'd ,� LLe HEATING /AIR CONDITIONING /FIREPLACE PERMIT 3p, 16 4''NNESO I. ree City PERMIT NO.,Q 577 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �� Q �i �*-� (Name) c 14! I r1� (Phone) G s2-- G r /5 (Address) 3 `e 6i •' - (r1:-/ PA) APPLICANT (Name) Standard Heating & Air Conditioning (Phone) 130 Plymouth Avenue North (Address) Minneapolis MN 55411 -3445 2 - (City) (Zip Code) (Contact Person) A ,, w (Phone) APPLICANT SIGNATURE , V r"�G ∎ DATE C r i fir___....._ APPLICAN' P LEASE COMPLETE BELOW ❑NEW CONSTRU ION Iw' EPLACEMENT III p71_, E' • . IONS i FURNACE MAKE AND MODEL & IA / 3 C -l'- =� f riG FLUE SIZE RETURN OPEN b INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water 111 Mechanical ❑Radiation into Required Side Yard Setbacks. Air Conditioning ❑ Special Devices Fireplaces with Box Additions or nt. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50 $49.50 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 $ 3 `� ` 0 Building Permit # HEATING PERMIT FEE $ • S 0 STATE SURCHARGE $ �� TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid -a 6 0 Re pt No. 6 b 3 3 Building Official Date Dates 30 , C a By • 24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 - 4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 1 1