HomeMy WebLinkAboutMechanical Permit #00-0026
CrTY OF PRIOR LAKE Me rl=~:~~~;\1~JFFJ"F0
1620? Eagle Creek Av. S.E. Permit No. 00 . OOZbU'-'Ci-1 J-.;';"--'\f l) )
Pnor Lake, MN 55372 _..,~
Singll!t Family ;(
HEATING APPUCATlON I PERMIT
Dale /-1,)-00 PID 1# ,2.5-..339- ()z,O - 0
5119 Address ICfvVi Pb Lc.A .J;,' .IJC ~I
lo1 Z Block 4- Addition ICNCf3 H/ {..,I- ZN.o
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Owner's Name
Addre ss
Commer~ial & Multi-Family 1 % of job cost ($39.50 minimum'
ea1ing & AC $99.50
"'e nli ling Only $64.50
s ial, Gas Rr~ $39.50 JAN J J
s~~en dilio Iterations $39.~__ 2DDo
eSl AC Onl $39.50 -.._---.
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55 113, V _ ~ -~ "--. '-- i
~ ~mb" 10 add I stale Su""",'g. on !he boIlom DI'hi. ~_., '. :J:
.l' e, I:J ~'" ,.'C.,,\., he.U~' o"mH.cJudes -p"""".., aod one lnallnspe'tion. ~
\ ~'rj in~9CJi?&Ne billed al900 each. ::
~ e Healing Tesl d mU~Ubmitled with ~ IlDIllli1 0WIlIl&r !)efore bull. ~
my rtirlcale oloccu cy will~rSued. Y.
EAT CAlCULATlON& ~r:()1 lu:" wilh number of supply and return openings lisl<<t I
T room with CFM's per o~~ sltuclures or additions send floor plan with supply
~ and return locations sh ~HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY E AILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE ~
GREEK AVE, S.E. PRIOR KE. MN 55372. 7
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Healing Conlraclor ALL lED FIRES IDE dba FIRES IDE COR~ER
Address_2700 11. PAIRVIIW. ROSEVILLE, MN
Telsphone # 651-63.3 -2 5 61
FIREPLACE .ii..
&n~ Make & Model ~.AJ 6(.c
Mod~1 Size. SL 7..fb
Conn. Load
Fuel fcY...s
Supply OpenIngs
Aelurn OpenIngs
Input
Edr,
Cfm,
Alteralions
FluB Si19
Oulpul d 3().J)
OtheI Devices
Refllacem41 nt
TYPE Of WORK
New Cons1 r\lction
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Repair Est. Comp. Dale / - / J( tD
Est Cost $ 1/ a.1cl) Building Permit" ~/z..O&
HEATING PERMIT FEE $.
STATE SURCHARGE $.
TOTAL PERMIT FEES $
.3 9. 50
.50
40.0 () Racelpl * 3(;;, 7 C;; z..
TYPE OF STRUCTURE
en
I. Pint Fil~ ~
2. (]~.,.. - 01, r+
1 Yen_ . C_ICIO (D
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COlllme rcial
Two-Famny.
Industrial
Multi-Family
Other
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Public
Fee Schedule
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Ci1y Hall business hours are 8 B.m. - 4:30 p.m.
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All WORK MUST BE 'NSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
441--4230
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. 111
I hereby apply for a mechanical systems permtt and I aclmowledge that the )>
information above is complele and accurale; lhal the worK will be in conformanc Y~
willi the ordinances and codes of lhe city and with the slale buildlng/mecft8nic
codes; thai this rorm does not become a permit unlil si1Jned by the BUILDIN
OFFICIAL; that the work will be in accordance Yfith the approved plan in the
ca.~ 'ev'ew and approval 01 pion':
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Building Olticars Signature ~ bate
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