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HomeMy WebLinkAboutHeating Permit 09.0920 uct, 'ib. no] 11: IIAM . 4 CITY OF PRIOR LAKE • Date Aced IIKATINGIAIR CONDITIONING/FIREPLACE PERPAIT 1 7i.96 ,) Lijrmitivir ' NO. 09 o'2..0 1 'Valor Applitard. ,,,,,,, . 2■______ __,(h yriut apull :rixut ati. .P■lA 6.0 _ ADIVI:SS [ L i 7 1.0 — TO' t4I C 1 .5 k _...:— --------- 1 LEUAL ix.sciu.no. (....„., _L.._ ,,,,K B.L ______ ADDrisioN . - PIO 0 WINER - j'i 171 C L • • - g inin - ' i f 4 0 . 06/ tikddics0 iik___ 537, '-.Cen le (Natne) _ — 4- ____ (Plume) (Address) 7402 Washiugton Avenue ,,,,_ _ - ---- EdenPrailie, P4Nd54244 — -------- " with (zip c ode) 941-1044 (Contact ion) - -- (Phi) 9 APKICANT SIGNATURE ' ' DATE ,/./..L.?Lej APPLICANT PLEASE COMPLETE BELOW ___... EINEw' cous'nuicrioN 0 RIEVLACEVIENT ri ALTERATIONS , -... FURNACE MAKE .Al D doDEL Si r 6i40 0 yo - F-- l — f 0 FUEL , _______•______ FLUE SYLB 4 ..ie vc..._ itETURN OPO41.1403 INPUIr OA9C) OUTPUT 3e_SVC? TYPE OF SYSTaf . . BEATING Olt POWER "wet _ riLzAs'iK Nark: Air Conditioner FlWano At Haws FA Sienna LICiikvity ' - 0 not %ter Vhits and kireplaces Canuot Encroach Into Required Side Yard Setbacks. Li Mechanitai ri Radiation lire:Owes with box Additions or n • DAir °auditioning n spe,w thwice4 C utilevers to the Outside of :Budding& Okla. Sy4lcal 011icr Dovices _. . I ' l Require a Budding Pernik. FIREPLACV WiAKE AND MODEL . -- ------------- Wk.; SCHEDULE ' InduariAl, Colianittreial &. Millti-Fandly 1% ofjob cost ReshientiA Bras Fireplace $49.50 $49.10 nitraixnum kesidentiai, flatting & A/C (Now Contgawtion) $ 49.50 RosidcAnini, Additions & Altortitiotw $44.50 1.03idordlui„ ikatiug Oniy (N6w Contstrucitioxi) $64.50 litcwi(entia1, AC Only S491.:i0 Estitnated Cost $ _ 2 00-0 Enacting Pormit # — HEATING PERMIT FEE $ 4 _-- STATE SURCHARGE $ 30 TOTAL PERMIT FEE $.....„„::5704,.,a1;) (...i.u.onl ,. 7 .,. ,,_ ,, W -- ,, of- 1 Ms App &a tiou .......Lain.s- Yout fluilhiLg Penult h Approved . Paiii5e) ((2) { _. Date ............_,.....-------------- thekith V: 04ociat :Nit /11L7 1 24 boor notice for MI inspections (952) 447-98* far (9S2) 4 1 4646 Dakota Street &E., Prior Lake, MilliMOligi 55372