HomeMy WebLinkAboutHeating Permit 09.0968 Uct :O )U 1 1 : 1 I AM Nu. v/J,u 1. i
CITY OF PRIOR LAKE Dat ite.
Ill:rATIN GAM CONDIsnoNING/FIREPLACI: 1)KRIVIrr
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442 Vil ' i . S(fr i. Pia Pilo I
PERMIT NO.09 o r(
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ie AN e type or plot mutt sigii ot inotttx,m1_
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LigGAL DESCRIPTION {Iodine oie only)
LOT BLOCK
ADDITION
PID
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NElit if
(Natne) _ i 5 L tOed s3
5637) .
1 APPLICANT ,
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Eden Prairie, WM AiliVi (city) (zip Com
941441444 1 .
(Cooact Pron) _____________ ___ '!'''' t" (Plinne)
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APPLICANT SIGNATURE " (.00
APPLICANT PLEA :"E COMPLETE BELOW
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LINEW CONSTRUCTION ____ LACEMENT D ALTERA:DONS
FURNACE MAKIlsiD MODEL ,C,Avirjr,,,_ ---
POWE
FLUE SIZE )/V ,,. RETURN OPEIONOS 4
TYPE' ir SYSTEM
, tam Air Nouns 11 Ste
aliskrity ' -
f ,0
_.] Mechanical
[]Air Conditioning
Dian. System . .
FIREPLACE IViARE AND MODEL . i* 0 '0 ''''"'
HEATING Olt R. I"
am
0 Rot Water
11] Radiation
n Special Devices FUEL
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riLAN IN 0 1 0 ).- ourPur
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IPLIOSP: NOTE: Air Conditioner
Units and 'Fireplace; Cannot Encroach
' into :Required Side Yard Setbacks.
' Ittinephsces with Box Additions or
Condlievers to the Outside of Buiiidings
n Othnr DOVICOR _______ _____ _____ _:
L 'Require it Budding Permit.
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nE., scramug
Indogrial, Commercial & Multi-Family 1% ofjob con Residential, Oa s Fireplace $49.50
$49.50 minim .
Residential, Hosting & A/C (New Construetioo) $149..50 Residential, Additions & Alpe:rations $49.50
Residendol, ilk:Ming Only (Now Conatnnotion) $64.50 llesidimtial, AC OnIy, $49.50
Estimated Cost $ 4 104 Audding Perna 11
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE $ 0 • ea
(Wee Ilse Oily) i
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I This .Attplicatiou lincomeg Your Building Permit When Approved
I i at 1 .i Y
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24 boor notice for Aii inspeedints (952) 447 VO, to (9.52) 441-4245
41646 Dakota Street S.E., Friar Lake,, ....:. ' . ". 2
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