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Air Conditioning Permit 09. 0664
_ 2 g§ § ] � -- --■ ui § §■22E 2 au g3 > § a ■ c 5i 2 2 'd g (Z Q 0 2 z $ OOO o OO a is t) 0 Nii § _ l'').4 u. N § 0 la 2 §� t § n 0 OOO< - 0 p � k 0 0 & §E §§ §� § k Lk- N il1 ■ 0 §UJ4 §k 22 IN a. ■ » ■� w w w OOOOQO 0 0 § Ix z w % a 0 is. x o � � k 7 • � § k ©© 1- x 5 1:1 o o 0 co % ■ 2 § § o CO ® k Fo U) d g < 2F• Z 0 0 © - S U. 4) 2 @ 2 ■2 a a§ k 2 Lu / 0 B z 2 $ 2 $§ 0 $ 0 ,&. Q 0z « o a CQOOOO 0 \ 00 £ o � V RI0 CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING/FIREPLACE PERMIT 0 H � IIVNESD�A 1. Fink File PERMIT NO . /Y> 64,4+ 2. Green City 0 _ / 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5:6 , it 1 L ' ,rte ' 1(1 t LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID O(NameWNE)R r J She-Lici (Phone) (vi2IOi y ca r (Address) 5 5 gli 4VY\ / )rL °I2 111 O H ag & C lin APPLICANT 9 04 Ve ^rnillioa St. (Name) Hags, MN 55033 (Address) (651) 437 -4177 (Address) (City) (Zip Code) (Contact Person) / n 4 , (Phone) APPLICANT SIG ATURE Y , ,1�J-.A., DATE /,NM APPLICANT PL . , S " COMPLETE BELOW ['NEW CONSTRUCTION ti ' PLACE ENT ❑ ALTERATIONS FURNACE MAKE AND MODEL 3111/1' t 501 FUEL kCr' FLUE SIZE RETURN OPENINGS INPUT - VW clP OUTPUT /U/ TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. Mechanical ❑ Radiation A ir Conditioning C ll ❑ Special Devices Fireplaces with Box Additions or ent. System SJ��o`T ❑Other Devices Cantilevers to the Outside of Buildings ��' Require a Building Permit. FIREPLACE MAKE AND MODEL I Y" ' _ 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 Residential, Heating Only (New Construction) $64.50 hh ,, Residential, AC Only $49.50 VW" (Ii Estimated Cost $ I Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 7 Re / No. ,- Date , 3 / 0 • JO Building Official Date r 24 hour notice for all inspections (952) 447 -9850, fax (952) 447-42 5 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 �, _.