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Mechanical Permit 09. 1044
O O� n 000000 0 > zg ° 0 § ƒB -n oo 0 A k S G §© n / 2 2 2 m a c c o m ■ m h § ) ® m K r § §kk § � cn � � w a 7 CO 2 3 ` ¢ q 2 2 § \ tv t- Co d ° § i \ \ a o , m rn xi m • § x � 200 ` ~000000 xi x m ; m m % ■��* ■� \ _i % �§§ . § § � ! M z ' E % c � q2 § m o § ? m § § >0 0 _2 .42 $ m U 0 \ \ �ƒ 3 E N 2 § m 1 i ��� § \ m ( / 1 4. / G\ c 0 \ , § 000000 (\ E § Q2 @n§ § 2 < § � ~ \§ §k \ \m k 0 j -K § j } @ § w r- 0 �J 1 �.. 0 00000 0 -2 O c „› �c? V 0 0 ❑ • � 0 cn TZTOO 0 Z 0 m p n o 73 73 . la, m r z D- c3 z p m m -O m m 7 �\ m N "IFDD O 513 t g N y � ,,, C N 0 z z 0 trl C. pr 0 n o _.r I� �,� m m c4 I * m 73 0 O Z ,�j` 0000❑❑ �\ -' t� try m m n 0 m m {/ mr Dmr O z o o :;Pa` =3 m = .D n \ co �' 2 O v \ n W x 7373 03 m O i n o n z000 0 3 -zi m • m a -c 1. ( r T O 0 73 =i ` J c tri _+ o z z cc z m z m I / / ^�\ O N O \ = m • c O `h. � 0000❑❑ m \ • • z z ( Nmm3 „.....A m at D. 4 ' D . ci y z ( m ° — D m rq z T "C m �� NZ - m PR j `O 4551 CITY OF PRIOR LAKE Date Rec'd Itz AN. HEATING /AIR CONDITIONING/FIREPLACE PERMIT 2. 8 . d9 tv J -/. 't• 1. Pink File PERMIT NO. 2 Y 9 / 3. Yellow Applicant /. (Please type or print and sign at bottom) ADDRESS ZONING (office use) fb \Jie Al -r ` . i?-L. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �/ L 1 1 ( 4 ° - 1 (Name) . V C - (Phone) (Address) `! Li Le) POTOS v ici ie ((E f e APPLICANT (Name) GENZ -RYAN PLUMBING & HEATING (Phone) 952- 767 -1000 (Address) 2200 W. HWY 13 BURNSVILLE 55337 (Address) (City) i (Zip Code) (Contact Person) . ' A d, (Phone) qS� -1U ���O 1-k Vv APPLICANT SIGNATURE �.. ► OML _ _■.._ �� 4 DATE ' 0 APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION A REPLACEMENT V ALTERATIONS '(AS t &' e ' -I - O ea-MI.. FURNACE MAKE AND MODEL (Q nr O7(- 6 (n. (_ M MDO C-111 FUEL FLUE SIZE RETURN OPENINGS _ INPUT OUTPUT Pat) TYPE OF SYSTEM . HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner DWarm Air Plants , ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. M Mechanical El Radiation Fireplaces with Box Additions or Air Conditioning .3 h-' I=1 Special Devices Conditioning/3 Cantilevers to the Outside of Buildings Vent. System 111 Other Devices Require a Building Permit. FIREPLACE MAKE AND M)D,.LL 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 # HEATING PERMIT FEE $ q q. SI STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ , -(.). OD (Office Use Only) This Application Becomes Your Building Permit When Approved Paid` ffo Rec . N6-9z 97 Date By Building Official Date /z' tb ,v7 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372