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Mechanical Permit 13. 0511
0 2 Z H W til P J re u. o Z W P LL 2W W ¢V 0 w UU rI\ a.ggZ o .� 0 W \' _ � C9 2 c4 cL z Q $i Q ' 4- '� W U Uti ti0 w N ❑ ❑❑❑❑C�3� > 0 0 2 m z c a' 0 W O 4 Z O U y O Z > > Z U iz O F- 2 0 0 LL -1 & 0 c 0 °z 0 _ ` Z a Z - 2SZi �-4 0 c Z O R LL O „` 0 0 Q V W ? U W W Z X f�. J WQ J W ill W Cy a �3 N O Z ;y i O 000❑❑ o i d a LL H re = Q 0 W 1-- 0 < (), LL w 0 Y V 2 ` a- 0 m _ o Z 0 N Q ti a et Z C� O U O N Z N W 0 J A et 0 Z Z oz Z w W W ` o a o H to Z i- Z,� - , . 0 0 0 y U V o W W Z = �(n2F ,�► U 0 N Di 0 0 �U 0 ❑ ❑ 5 5 ? a 0 o. 0 000❑❑ U i CITY OF PRIOR LAKE Date Rec'd c.1 R ' , HEATING /AIR CONDITIONING/FIREPLACE PERMIT Ham - � I M"k F;le PERMIT NO. 13_ �i`7/ ` 2. Green City 3 . Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1 L i +14 Eda. ►(1,0©oct - ■A-' LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER PO-Q -- I + (Phone) ( 1 ) ' 7 ���d ✓ � C 0 • • (Name) �� (Address) ,: APPLICANT r ,.� r (Name) :V. HEM ING & AIR INC. (Phone) 51 s;2 WEST BROADWAY . (Address) CRYSTAL, MN 5 9 (Zip Code) (Address) �3 -535 -2000 (City) (z • (Contact Person) J / AIM M 1 (Phone) APPLICANT SIGNATURE La / DATE APPLICANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION .eREPPLACEMENT 0 ALTERATIONS ('� • FURNACE MAKE AND MODEL f i.�1V1 OV �--'9, / - 14IJ�' f 1 0 10 FUEL �W` FLUE SIZE RETURN OPENINGS INPUT( r 0 D f) OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity [' Hot Water into Required Side Yard Setbacks. gitl;!lechanical 0 Radiation 1 . Fireplaces with Box Additions or it Conditioning 0 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 Estimated Cost $ Building Permit # The Minnesota Statutes § 32613.148 q q r� "SURCHARGE" has been changed for one HEATING PERMIT FEB $ year effective STATE SURCHARGE $ l .$d July 1, 2010. until .June 30, 2011. C The mnimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ � `' � . , 1 r, i is ., beginning July 1. 2010 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 1 / s � Receipt No. /r p j Q / Date i:: / 4A3 By Buildine Official Date J 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 •