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HomeMy WebLinkAboutMechanical Permit 13. 0714 7 O O 1 k n n 00000 - 0 0 > k \ 0 k / k�kkk K k / n \ 0 0 Cn m E S C - 0z z 2- a m a p c \ \ / / 2 �§ � \ k .\ . y a \ § � ) 0 .z \ / n ` r o • . . m m / / 3 $ 7 . ' ,,..,„) % z ` 0 0 � m m m A 000000 k / / §§ • % : ■r-C�■� mr r \ k g \ > z§ § \ } 0 0 _II -- m Z / 0 / ` ` �z \\ 0 z C -4 �^ c 2 k 0 % \ §§ § m ,,,2' ƒ 0 \ 0 3 0 $ f m o e000 R. § Q @ =nm ) \ z \ § \k0 _ mz § P »m » "T1 XI .4 � m z °'® 0 J pRI CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING /FIREPLACE PERMIT I air 1 �x 4-11IVNESO �s� 2. Green City PERMIT NO. /3 .., U 7 / ti. 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 61 Nor \odY_ Cars S'E LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER. �/1 O C (Name) OW CJ S li.- `'\ �- wO ICS (Phone) 303 - L- 2 - 1-Cf 5 ° I 7 (Address) % CY OIL. A 1r1rGGI0� co goon APPLICANT ' L _ _ (Name) TDuirnSV1kie., ` - kerkk`Ac `�C AC (Phone) Of 3v1 - (�C1.Li "6OO5 (Address) 34.� W. &ky \l 5 l l V y - I2r) 6 u.m S l ls_ GS 331 (Address) (City) G (Zip Code) S (Contact Person) hc « (Phone) 635. - Nt4 -000J 0 p}-• 2 APPLICANT SIGNATURE St. ..i1. 1...ei Si DATE U -31 "/ 3 1 APPLICANT PLEE COMPLETE BELOW C ❑NEW CONSTRUCTION Ail REPLACEMENT ❑ ALTERATIONS F A AKE AND MODEL Pj't- 6 a 1- 11 3 }60IA 030 FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ['Warm Air Plants PLEASE NOTE: Air Conditioner ❑ Steam Units and Fireplaces Cannot Encroach ['Gravity ❑ Hot Water ❑ Mechanical ❑ Radiation into Required Side Yard Setbacks. ❑Air Conditioning 111 Special Devices Fireplaces with Box Additions or ['Vent. System ❑ Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIRE21 ACE MAKEZniD *M L ^ �J�`( P )f' C 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 § 326B.148 HEATING PERMIT FEE $ ' . sb "SURCHARGE" has been extended STATE SURCHARGE $ IIPOP until June 30, 2013, TOTAL PERMIT FEE $ 1j The minimum surcharge for a (Office Use Only) "fixed fee" permit is $5.00 This Application Becomes Your Building Permit When Approved Paid $ t Receipt No. j Q 1_ 2 ., • Date q/3 /3 By Building Official Date ,/ 1 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372