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(Address) ------------ ----7-402-WashingtotIMMOR_ ....._ _________ --
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Eden Prairie, miteS344 -
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Wooracr Peiuni)
041.1044
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APPLICANT SIGNATURE 10 _ All _ DATE' --I( /
._____,_ APPLICANT PLEA N COMPLETE BELOW
t___INEw coNsTweriox ' • oir_,Ac.ammt ---11 ALTERATIONS
FURNACE MAKE .W) .4)DEL. 0. I 4....- 4, , , ?•1.., ____0_Ki.1__,/___ FuEL /1-00--4---.
LOE SIZE _41 I' tt,,,, RETUW-OPENINGS INPUT (:1;1Pi7r ----------------
1 1CP:13 11 SYSTirsM
nu Air Plan&
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e tvIty hanical t]
0 Alcc
Conditioning
°Vent. System '
FIREPLACE MAKE AND MODEL .
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Tie
BEATING Olt PO) WER PLA1VT
13 &aun
ftot Water
ri Radii:100u
111 socemal Devices
PLJ&ASE NOTE: Air Conditioner
Unita Mitt bireplaces Cannot Encroach
h
Into Required Side Yard Setbacks.
itireplaces with box Additions or
0 o m vict , ------------__, Canthevers to the Outside of Buildings
'Require it building Permit.
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PEE sammg
Induatxi4d, Commercial & Athilte-Fainily
1% ofjob cosi Residen 49.50
bar, Gas Pireplace
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$49_11.) InInirnurn
keadential, Heating it 441/C (New Contoaruction) $149. :JO
Residelitiali Additions & Alteratiemi
$49.50
Rosidonlint fielding Ody (Neve Conatruntion) $61,50
Academia!, AC Only
$49,50
Estimated Cost 8 21ecjZ? buddinpf, Perink #L
BEATING PERMIT FEE
STATE SURCHARGE $
.50
. - . . IOTAL PERMIT FEE s„---___457.4e,...trAl
(um. us. 0.
lids Application beconua Your Ihrildiug Permit 'When Approved 1 Fil. 6 i i , 111
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Daint Ili '040 V 2 3 2009
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41546 bakota Street &E, Prior Lake '1 •1 . .
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