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HomeMy WebLinkAboutMechanical Permit 10. 0539 <-)§ \ — m u _ 2 � ce 0 Q �_00 z a � > \ 2 j7}§ , 0 2 o� �W � ƒ z Iii o «C4# ? § w o� it co o \ DDDEDO \ \ w z o CV \ u. o Da ~ ^ 03 0 § D 6 �a z ° 0 o 0 0 0 - . W I k M 0 0 0 0 4( .| P.§ W t k I _ Ce z -= =zƒ o f/ 2; 0 0 a = B I = \, 2 B e o ]Sa D0 \l( § § § b © a ■3 � � 000000 4 \ � } } 0 / \ .¥ \N) L 4 ww z L$ S 0 o \ ƒ R t �� ° . (f) ° § § 0 dd o �i w � \ k k § 0 / oS r4 w w RRU 2 3 o 0 0 0. § 0 $ 0 U. U. U. @ c § Q : - a < 0 a. 000000 0 x CITY OF PRIOR LAKE � ` Date Rec'd ( °. . V HEATING /AIR CONDITIONING /FIREPLACE PERMIT Zz , ( C7 e r27 41jNNESo 1. Pink File PERMIT NO . h 2. Yello w Applicant City // / ` �� 7 3. Yellow NO./0 (Please type or print and sign at bottom) ADDRESS ZONING (office use) GLY0- Pon,VP.1,03A - a- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWN 1-10 J ,t , �\ J O \ a S i \S (Phone) opa ---1-4 tJ3/'� (Address) 5a" l Z p \- v V .twoc Di,- W l At Vm) sS I L_ APPLICANT' as /� i ci ` �Z ct I t ,t ,� Ill (Name) 11. I one ( IG t ) . (Address) , ��-C� `Y 0 \ ' - � � ` t �� ` ( Ad res �j, (City) (Zip Code) (Contact Person) • _ ��� ( ' / 'V o • .. (Phone) APPLICANT SIGNATURE � M�� 1 ! rail DATE 1 APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION REPLACEMENT �� j ❑ ALTERATIONS FURNACE MAKE AND MODEL CJY �,A 6'�M "1f lcL FUEL ++,, FLUE SIZE RETURN OPENINGS INPUT °15 )0 OUTPUT '1O TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ['Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑ Hot Water into Required Side Yard Setbacks. Mechanical 0 Radiation Fireplaces with Box Additions or ['Air Conditioning ❑ Special Devices ❑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 $ O) STATE SURCHARGE $ �-- ,c 50 TOTAL PERMIT FEE $ tO CO (Office Use Only) This Application Becomes Your Building Permit When Approved Paid s----0. V U Receip o. 6 a � s/ Building Official Date Date / 41 , /D By 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372