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HomeMy WebLinkAboutMechanical Permit 10. 0871 c-.,...D o _,w s _ z P u a =� \ 1 • / k § 555§ k \ � a. a� w \ ~ � k/ § 2 § \ � . . 000000 . ) ] \ 0 Ilik'\ a m m : \ o c 2 . § a. a_ b . z § z z k ` / 2 \k § u 0 \ 2 § V 0 g i z 2 ? ?27 \ m w \ U a )fl�� a / z § P. o u ® nu # ) a2c K §§ >1-C. ® 000000 00 z % I E ° U.1 § w ° r IIJ NC t \ z . 0 < 2 % in 0 z ^ } 2 < <, / g ce ° 0 w 1 `� ® a i a z o m w /� / \ \� /�j C4� \ w CL w 0 0 0 j E § 0 g 0 Eo 0 .. 2 00 \ \ u? « 0 a 000000 0 00 _ i: r, RI 0,- CITY OF PRIOR LAKE Date Rec'd I L HEATING /AIR CONDITIONING /FIREPLACE PERMIT H 4 V : h9 1iVNESD� 1. Pink File O. 2. Green City PERMIT 1 N/ t 0 V 7' 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) JS70R3 j ,le LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) ., 1 e, S a (' ti ©l C (Phone) (Address) /Sep) 3 i /SrJ V I c kJ P---4 APPLIC ] �] ` n j� ` (Name) r r \ Dr ) '-1 iT T'. /'7 (Phone) c Li 7 -g / (Address) / Pei. c t-c,,,n �� P,-k, tlr 2.6- - (Address) (City) (Zip Code) (Contact Person) . A . i (Phone) as-ra 9 4 7-e /) () APPLICANT SIGNATURE // > _., ,- _ DATE 0 ow- V APPLICANT PLEASE COMPLETE BELOW ENEW CONSTRUCTION tEPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL �r_l_+ s ' S FUEL Aig 7-- FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT � PLEASE NOTE: Air Conditioner to /Varm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ['Gravit ❑ Hot Water into Required Side Yard Setbacks. ❑ Mechanical ❑ Radiation DAir Conditioning ❑ Special Devices Fireplaces with Box Additions or ['Vent. System ❑ 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 $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ i/.. Z) (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Sz Receipt No. " ,.- ,: y Building Official Date Date 7 _�f - L` By L a 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4 45 i . 4646 Dakota Street S.E., Prior Lake, Minnesota 55372