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Home My WebLink AboutMechanical Permit 08.0255 k - 0 O 0 00000E 1 3 0> E 0 0 0)11 - 111111 0 $ 0 ® m z QQ z in ƒ m22 m>ctco m m m o % m m % l Z > o z 0 - % q q \ , � / d ®�Q P �o w�� m n z o z 23 G 2 q > .. a z 0 m o z \) n � \ / 2 a 0 , Z 7J \ o < s , k z /\ \ 000OOO q ~ ® m m % . /13 c � 2 % o 0 , n ) / K / m . ( } ^� { § ,3 q% § m 0 0 C m z - ' > 0 2 m '12 k \ I Z / \ z / z \ ■ r- 1) 2 m ij o m q > ®N c 0 \ \ < ( ` N 0 m . 000000 ti z 2 r o : ; / 0 § ` k rn NI 0 �0 '. � - m ■ � 7 ® e C -I Z - z X K a -Ir- 0 O� P R 79,- Date OF PRIOR LAKE Date Rec'd / \\ HEATING /AIR CONDITIONING/FIREPLACE PERMIT C l � l� 'NESO� • 1 Green File z P ERMIT NO. b Q U z5 ✓: . city ( 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) v 1 1 C-e-j CAC woc () (ST T. N . ..- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) ( 1 s S Lt 5c.. L , 1 1 % c,.r`-. S (Phone) CI' 5Z' 445- 2 5 1 1— (Address) 5671 Cc J c,, c t..7 ©r, t) S . N • 4_ 1 ‘• :. or c`,. \� L i , ' -5 S 3 ~7 Z_ APPLIC (Name) k c) e - -k •c._\ \N L. c.-- n5 ,- -. (Phone) t Z_- 7 2 - 1g9 °( (Address) 1 E., yr S3- 5v: \c AA M, r, --Nc_... O l∎S , re. •"\ 3S `107 (Address) (City) (Zip Code) (Contact Person) r r■ c_.- �\Lc) \ r - c . (Phone) 61 - 7Z-\- t % c1c APPLICAN T SIGNATURE ( ATE e j - 2_ - 0 V • APPLICANT PLEA OMPLETE BELOW A ❑NEW CON STRUCTION PLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL C c r %Q..-1 f (` C - NON a °7 (0 FUEL Qv c,;l , (, c S FLUE SIZE RETURN OPENINGS INPUT 6 6, 00C OUTPUT 52 , 0 0 TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑ S team Units and Fireplaces Cannot Encroach 8 avity ❑ Hot Water echanical ❑ Radiation into Required Side Yard Setbacks. ❑Air Conditioning ❑ Special Devices Fireplaces with Box Additions or ❑Vent. System 0 Other Devices Cantilevers to the Outside of Buildings 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 $ —] I .� 5 - O v Building Permit # HEATING PERMIT FEE $ iy c\ S') STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 4 n c J (Office Use Only) ill This Application Becomes Your Building Permit When Approved Paid �� Rec ' t No. 0/3 Building Official Date Date 6, 6 0 / B .