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Mechnical Permit 08. 0843
5 0 0 0 0 000000 -0 0> §0 n 0 k 0 0 0 . � �K� © § 0 0 m � 0 2 c m m o 23 x k �..� 0 m § § §2 Z . 0 - - a t > § -I m 0��� z k 10 * K ® ■ \ 0 q $ 73 9 o # 9 q ' z m % r- % • E2 0 xi s / D7 R R , � 000000 m .14 C/ ■� ■� \ q U) O qE § RE hs 2 ■ ... mzs -o o co 2 2z 77� § z 0 / 0 C r> - \k q c 0 0 § m , , 1 r§§ p m k 0 X m 0 k 0 [!:■ . EK OOOO C ti FE § • > § ` § � �� § § / ri ; ; ; N. 4 § ■ mm F4 k : - - I I- 2 4r 0 m pRI CITY OF PRIOR LAKE Date Rec'd o � o� v !~ HEATING /AIR CONDITIONING /FIREPLACE PERMIT fice" 7/7408 , 06&3 jNivESD�� 2. Green city PERMIT .00 0 84 ,_4 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 5535 *ye Trail WE pot LO LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) irn lA f IPare f(17d tjOme al ( phone(cgl$q --91 16 (Address)6535 S Ili II Gf (1 W Wvr Ly✓ I m (NameC (I �i J t v ! l.� ( d I Ol /� raI 06 ( Phone ) C�J ! @505 (Address) 2 0(0 Old PJIC \rd 4 shako r (Address) Zi Code) (Contact Person) unu (PhoL)2) f I .- � 56 APPLICANT SIGNATURE eA . t. 42 A II. AI DATE 10 - 'I -- OS APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑ REPLACEMENT Ist ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warn Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ['Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑ Special Devices ['Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL re** ctnier 4o slde IS how, Line -to " hi G1o�J ttubv) 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 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 60•60 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid ✓ U� Re t No FZ� Buildin¢ Official Date Date' v /1, c 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 , . . • . . • . .