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HomeMy WebLinkAboutMechanical Permit 13. 0767 E O0V A 0 \ �q/ 0 000000 1) 0 > k a o mm . 0 '33��� 0 t o k� P o . 0 0 " ~ S k����R / m 2 2 —4 —4 3 k �7 3 2 k /� \ � � � ^ =.1 .>91 . i � / z � \ $ . x 0 0 k $ 3 . \0 2 0 �� / \ y \ mm = i 0 ƒ 2 ' , ' % z § R k x , \ \ \ . x 0 00000 m a� / K / ] § | ; , en 2 § 9 ] , ƒ §23 §%§ r ~` o / / / / \1 � r- /\\ \ \ � 0 0 7 R I ( �i§ & ' A C", \ 0 . 1 \ \ _m % « \ $ P:3 ® % Z 0 00Oo Re k \ 2 §I q§ c '' 2 q k '�§ § §Q @ m .� k ��� K S ( \ \ � 7 z K \ , / I O y 0 000000 7 0> z0 § 0 a 0 0 73 0 C � z cn V O k m m �\ % > . ° \ C r ■zw n� r� m q q ■° » m z � �o� z $ -1 17 k,� qq #� . 2 Co eo�O P 2@ 101 �x m o § o / ° $ ` i 5 / Z o 0 # 7 § ® ~ 6 a._ $ % n « k A m o / § ..k / %. . - 4, k © . 0 7 2 % Z 0 00 K . N 000000 0 q z 0 0 . f .� f rnr -m r 0 _4 z o 0 nc > 7 \ k i § ¢ \ \ . § »q %§ m o k k Si � e > 0 3 § $ q a 0 z , ® � z77 / % 2 7 q � \ r P i § / 1 73 c c o N . ( � ^ m V-00000 2 & - ' o� - n nm • ; > ( > x�o . , -4 / ° ® . kl f cnmrnG) trI 0 %. f ] m k d \ , c @ › � z m / ® r- ® i t o� I R IO 4 CITY OF PRIOR LAKE Date Rec'd 4 c HEATING /AIR CONDITIONING/FIREPLACE PERMIT 4 �P PERMIT NO. 1. Pink File tirt `) NNEsO 2. Green City /.> (� 7 7 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS 41( fet, s T A/C, �� ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID • OWNER � r � " , ] 5 (Name) I � �'��, tC-- � I (Phone) � � ``I p� (Address) APPLICANT (Name) G.U. HEATING & AIR INC. (Phone) (Address) 5182 WET" BROADWAY CHYS IAL, MN 55429 (Contact Person) 763.535 - 2n00 (Phone) APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW NEW CONSTRUCTION Q ' PLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL � 1/10 l £ toU.... --1 a q uoi UEL ri---d. FLUE SIZE CI 01 006 RETURN OPENINGS INPUT OUTPUT T EOF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner arm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach El Gravity El Hot Water into Required Side Yard Setbacks. ❑ Mechanical El Radiation Fireplaces with Box Additions or it Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑ Vent. System ❑ Other Devices 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 Cost $ Buildi n Permit# HEATING PERMIT FEE $ 99.50 STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ i (/,5c) This Application Becomes Your Building Permit When Approved Paid ,J 4 7 Receipt No. q# 7i Building Official Date Date / 7/43 By 24 hour notice for all inspections (952) 447 -9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372