HomeMy WebLinkAboutHeating Permit 09.0961 UC t.. 'i b. )U1, I I :1 1 NM 190, 11 / i lt ! . /
CITY OF PRIOR LAKE Date; Rceil
IIFATING/AIR CONDITIONING/FIREPLACE PKRA4 IT
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4.12v,i...:0 T i-- iiP;„,,,,„ i„...10, -PERMI NO,')
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-,._....„, 3. Yellow Applionni
jilleaselyre or print noil stvi at liotiniul
ADDRESS — — — — —"----- — I ZONING (wh,,,..:)
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LEGAL DESCRIPTION (office use only) . - -----
LOT BLOCK. _ADDInt)N PIED
-
7 _
(Phone) 4 7 ...4 / 4)
(Addies0
F AI - 44.1 7- C7A - N - T-- C e nit alai 1 -----------------------:-,,„-_ ," ----- / ------ , -- a — L.
Rcv ,:mc,0;4. , K . T.
(Addres,$) _ 7402 Washington Avenuf ,
Edon-Prairie, Mktrigr- -- ----------- (QO) Czip Codo
941-104
(Contact Per$on) ,
' - — -
IPPA ,ICANT SIGNATURE ___ . ...
— —
APPLICANT PL A'4,E COMPLETE BELOW
4, - -- ----- — —
[]NEW coNsTRucTioN ) REPLACFMENT ...,... AILTEILATIONS
FURNACE MAKE D MODEL • AN _ A/yelk L./ 5 efr/ o FUEL P V. 6 6, - D ep epeo06,r _ ._
FLUE SIZE 2 - 1 9k ' IRE1 OPENINGS
TYPF 1 Sc'SJ
„ anti Air Plant tt
s
::
0 Grivity '
114celatmcal
DAir Conditioning
EiVent. System . .
FIREPLACE IVIAKE AND MODIAL INPUT
I OR POWER PLANT ----__
El 0 othcr Dtvice8 _______ le LE f),SE N OTE: All Conditioner
Steam
__ ......... _________hius and Pimp aces Cannot Encroach
0 Itiot Water
D Radiation
[11 Specie( Devices into Required Side Yard Setbacks,
Ittireptnees with Box Additions
or
Ctuardevess to the Outside of Iiitiidings
Require a lattiiding Permit.
VIM, SC1TEDULE
ii Industrial, Commercial & fvlulti-Faraily 1% ofjob cost RestAientiai, Gas Fireplace
$49.10 minimum
Residential, floating & A/C (New Construction) 1;149.50 Residential, Additions & Alterations $49.50
Residetnitil, Heating Only Now Coustroction) :X4.'50 ReAildential, AC Only
Estimated Cost $ m ila# OP_ Vilidding l'c'rtnIt 11
HEATING PERMIT FEE $ i i _e_
STATE SURCFIARart $ 50
TOTAL PERIVIIT FEE
(Office ttse Oily)
This Application tiecoilleS Your linilding Permit When Approved 'I !t C 1" E 1 eR c t NO
[ nuatonekoitioto - — Date, tit V 2 3 2009 .
24 hoot notice for it inspections (952) 44 ' far 052) 441
«A Dakota Street SE, Prior Lk ::k .''' , : , I, . .'