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HomeMy WebLinkAboutMechanical Permit 12. 0157 n 0 00000 13 0 > zg / 0/ O �� 0 k / � n n\ 2 0 0 2_ / r t zq m qk \ r R rn m A m z � z 22 0 ®- m r 0 0 m z m -Q q ® 2xi z R k§ j cn- 2 § Q k 2 2 a A 2 B mm / 0 r k . ,� O ■ il -n 11 & — k 2 § 3 000000 m 7mm c -0 * 0 q z § § na - z - — m q co \ ° $ 7 >§§§ 0 k - , k m m ® r -n00 2 @ r E '1, j / j ��� � � � � ill / 1 7 ' / m . �. j \ q 0 . ED D0D N . o 7 >55x0 �. / m 0 c6 R. k A t; f �mg ® 0 » ® � - ) m wz E m -1r 0 F 1 1/4 9 V R`0 CITY OF PRIOR LAKE - -•, ' -' HEATING /AIR CONDITIONTNGIFIR�E ?LACE PE_ &MIT bate Recd I. a .� . y r' v Gv . f i. Equk Fitt (1'icase type stint and sign at bottom) 3. Yam. 090 u «,re .� J ADDRESS . I"11.!�`�� �C ,Ct'� 4\ { IOti7NG ;orFce 3s.) f LJ GAx, DESCRIPTION (cf ►:5� �:Ly) I _.. i�LOCi: ADDXTION i?II7 (Name) 1 knG 4a. or.� (Ahcne) — ei (Address) -I (Q C7 �7 �� „� -� " 4_,. V 1, I X1 5 Y . .. (Name) 4�,T l� h. tY -, (Address) Cad _ _ ' _ ' ha ( ,-,I , , \ �_� n c ,r fl 1 J� t 1 -.S 3,.5. : s) T (City) (Zip (Contact Person) ( C k (Adi ! C :Z l 11 4 '� 7 r ) APPLICANT SIGNATURE ,, . / _ >DA'rE - 31 —" r A ' .' ICANT PLEAS:Cf. COMPLETE BELOW r _ DNBWCONS'1'RUCT1ON REPLACEMENT uAL R1r1ONS FURNACE MAKE AND MODEL �� 1 r; i~L FLEE SIZE RETURN OPENINGS INPUT � l■ uU "f1'G'T TYPE Or SYSTEM HEATING OR POWER PLANT ❑harm Air Plants StCit PLEASE NC Y'E: air Conditioner G:avity ❑ Hat Water 'nits anti Eh places Cannot Encroach 0 Mee nical ❑ RadiaCen into 1 egnirc i Side Yard Setbacks. ©Air C �fftliCiJninS ❑ Special Devices ^ _ Fireplaces w: h Box Additions or ❑Van.. System 0 Other Devices Cantilevers tij' tiie Outside of Buildings . {, � _. = Require a Ba lding Permit. FIREPLACE MAKE ANll P OD.EL , c( � _ E c FEE SC 1 —�__ f industrial, Conm)er;:ial & Mu,ti -1 atnil Y 1% cfjob cost Resit:codaI, Cias Fireplace ``ma $49,50 $49.50 minim um �_ Residautiul, Hutting & A;C (New Construction) 5149.50 Re idaatLal, Additt Ss Alterations $49 50 Residential, 1 Tenting 0aly (Ivew Construclion) $64.50 Residential, AC Only 549,50 i The h'Jinnesoitt. t ;ltulc, 32f;13.1in; Qsl $ _ Building Permit i ` 'SL.I.C1-1A;WE'' hill bean : hanged for a►: e �� or '' I year effective EATING PERMIT FEE $. . S O r . ? lily i, 4.)1 , I L ii:r>s(t'e :;t t. STATE SURCHARGE '" - be rarininluut sari:ha:4e fore "fixed foe" permit �. �� i� , ;;, brginaliub•lutylaaola TOTAL PEI2NIITFEE $ ( 4L Z7) This Application Becomes Your Building Permit When Approved Paid co 2ecei o. _._. Date — Buildh►e Official Date 3 ' ( � 1 2. ?A hour notice for all firspectioua 052) 447 4850, fax 19521 441-41. 4c Ova/ TO 3E d H IH/ )H1dC :H .SNI 'tC1D 90Q9Z6bi5E 90: ZT0Z /90/50