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Mechanical Permit 12. 1158
O J F 2 J Z 1- • J a' LL Ix w \ O o?UUW Z 0 w ... ,,,4 s g ggg < 0 0 _� W0LLIL � U' ,{ '2 Z re w = re v N 0 O j z Y Y = Z U 0 y / f' EE 00 LL--I 0 0 U 2 t z ce Z — 2 Z z 0 c a 0 h co\ 0 a m a UJ 6 Z to w< ? w W W X O ( —, a23 w Z w 00000 0 o re CC o o w e a a 1+. _ ■ ix Z Q O W w w �^ O < U aL w o W • o z < g a o • Z o Z w • F 3 p a 0 0. O c7 < o ►- N z < 0 J Ly U. (5- W W 0 ,� 0< W 0 r e ix 0 V O uj a 0 w O OLL Z LLN 0 0 0 U N U? < 0 a 0000❑❑ 0 ><❑ 0 E. o <0 IL j CC _ c e ui = 'i w w R Q § § a �) )\ > ___.) 23 )2 z ® w o o "(k ? ) O �OO C A _ � ° x j / o I 0 0 S d §§/ § & 0 k § / E2 §§ƒ-J • o 0 0 / j } Z § §_IIZ § § 0 - : ( 0 a 2xw�s �i a. f co / ( _1u = u 0 O Z e c e a �2 � a� w w 2 w 0 0 r - - ) = © O2o c 0 2 $ - I \ } 0 \ m uj ' 0 U \ - 0 o • \ \ 0 E 0 § § a / g op 2 eR ■ �k 0 Z • / 0§� } w § w 0 j 0 � R 2 ��� ) § b 0§ 0 �� � 2 ƒS 0 2 S§ R 5 ? < 0 a 000000 Q o 0 / V !3,J.04, CITY OF PRIOR LAKE C Reed . ,,° HEATING /AIR CONDITIONING /FIREPLACE PERMIT v h g 411N P I. Pink File 0_.. 2. Green City PERMIT NO . 1 I • f I 3. Yellow Applicant ` f (Please a o�rint and sign at bottom) ADDRESS ZONING (Office use) 1 T 7 Ti4; N,k1 Pl. . -. /1/. 44 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) JE FE a 0 .& — (Phone) 9S 6 g (- t823 2J (Address) 1 612'3 / ;° R im/ -A p L . N A - -- - -- — APPLICANT y� 0 p. (Name)�_.__J _Ef . tkE t' / � ^ (Phone) ?2- at t- 1O p 2 ? (Address) - L� I0 _.. 3 ..- 7h . I yid Pi. .. Az___Aki (Address) / (City) (Zip Code) (Contact Person) Shin t AS, h e t✓ L (Phone) APPLICANT SIGNATURE ._ DATE AP LICANT PLEASE COMPLETE BELOW :NEW CONSTRUCTION ❑ REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑ Steam ❑Gravity Units and Fireplaces Cannot Encroach ❑ Hot Water into Required Side Yard Setbacks. El Mechanical ❑ Radiation ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings �t 6 Require a Building Permit. FIREPLACE MAKE AND MODEL fn__ i / or ,v FEE FEE SCHEDULE r' Industrial, Commercial & Multi- Family I% 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 $ / So 0,oa Building Permit # The Minnesota Statutes § 326[3.148 "Sl RCIIARGE" has been changed fctr one HEA'L'ING PERMIT FEE $ year effective STATE SURCHARGE $ .50 July I, 2010, until June 30, 2011. TOTAL PERMIT FEE $ S / ii • S U The minimum surcharge for a "fixed fee" permit (Office Use Only) ism, beginning July 1, 20111 This A plication Becomes Your Building Permit L _ _ t Approved Paid, fas . Recgi No. ? I , 6a.4f,:w to D DI By // f Building Official Date t e/ — / — / 1 /' G' 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372