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Home My WebLink AboutAir Conditioning Permit 09. 0546 J 0 n 000000 13 0 > zn A n \ oo o . 0 gz Kk 0 2 Z m 2 O 19 k r 0§ � M 2 k� z � \ ■ � -1 - � © � © z- 2 t 0° d 0 Z k, Z § • $ 0 9 a § d @ 0 § q z 2 d ■ o > x z t•3 r o 3 ■ ^�� t� 000000 § X § §m aIf® ■■I E -I §o o nc >mc § 2 ? m ! XJ U 2 A ' 0 / C m G 0 ■ t§ § C m % § § r 2 § § x , J c c 2 $ m §� Z r M ¥ • E 0 B 0 . e 4 )OOOOO 1 ti E 7 �. X 22 §§ • 0 © L TV $© % z L. -0 Ar fa § m � m■�F F■NI 2 �� r- § m (I o pRIO� CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING/FIREPLACE PERMIT 81/1-,07 4' I. Pink File Q en 2. �I �'I�vivESOZ 2. Green City PERMIT NO. AO O . '�,�.(.Y�1►/.' 3. Yellow Applicant 7 (Please type or print and sign at bottom) ADDRESS ZONING (office use) 552.0 1:t:;k\r kouLAN\ . Sho -e S Y_ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER V/ ,,.� On et n ©rr� �1-4�k39- (Name) I�� ` (� � � � ' �,\ �,� (Pho 6 152- 4 (Address) 5�J 2.0 `auk)", 9r S -Tr lJcu 53 APPLICANT ` � s ,, �(, ` �� I �c - v I (Name) I �01\ 0 ■ ■ la ' hone) (0...4*-- '3.7 (Address) W `J Or\ \ " "t P0,t,o\- NAI\ & i t (Address) ' (City) (Zip Code) (Contact Person) I r ° it l • one) 1 ` - 72213 - 72213 ip2_r" 1 APPLICANT SIGNATURE t, A O I) ■ L I 0 0 0.�► DATE P 1 i itt J 1 APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION Z REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL GEC UL AA l f \ FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR. POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation Fireplaces with Box Additions or [ W Air Conditioning 0 Special Devices ent. 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 $ Building Permit # HEATING PERMIT FEE $ 4 l .go STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ . CO (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 50 t) Receipt No.5g 72,3 � . Date j, 7 B Building Official Date g / VV f V 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 - 424 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 - • . • . .