HomeMy WebLinkAboutMechanical Permit #01-1370
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CITY OF PRIOR LAKE
ilEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
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(Address) - - .
(Contact Person) 1_ I 0 (1 a
APPLICANT SIGNATURE ~~ ~ ~
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APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~PLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL lO A\f\.n't G 'd.tslliI3 - ,.t:;'" FUEL
FLUE SIZE RETURN OPENINGS INPUT 1-5, Db() OUTPUT · to'1. 0 () 0
TYPE OF SYSTEM HEATING OR POWER PLANT
(Please type or print and sign at bottom)
ADDRESS
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((.LV'U.2LU ~ ("
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER t )
(Name) 1 c: j.-e
) tl () 4 10
APPLICANT ~
(Name) . .\ <\p:<~
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(Address)
(Address)
DWarm Air Plants
o Gravity
1SlI Mechanical
DAir Conditioning
DVent. System
Date Rec'd
/1,.-1-0J
1. Pink File PERMIT NO
2. Green City . 01 -~ /37~)
3. Yellow Applicant
ZONING (office use)
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lei
PID Z5-0 09- 0/7-0
(Phone) ~ - l/J;3,~
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(Phone) ~ ~ 5 -5?SQS
Ed ;::,,, Ii Vo/J-e p .~ 5":n1-
(City) ~/ (Zip Code)
(Phone)
DATE
\2.-&'''01
REQUEST FOR INSPECTION
SENT TO HOMEOWNER. NO
RESPONSE - CLOSE FILE
4/2003
PLEASE NOTE:
Air Conditioner Units
'Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
Building Permit # () /-137 t)
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
a300
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'JJJ FEE
(Office Use Only)
This Appli~~ Your Building Permit When Approved
fA/'fN . ~-'7/() ,
Building Official Date
$39.50
$39.50
$39.50
$
$
$
~.t50
.50
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pa~o. 0 0
Date,?- ; 7 ' 0 J
Receipt N041JtJg /
By jtC
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245