HomeMy WebLinkAboutMechanical Permit #01-0960
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CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONINGlFlREPLACE PERMIT
(Please type or Print and sil!D at bottom)
ADDRESS
I.L.J q7 7 tr)LLrt .I~LL.~. ~c
LEGAL DESCRIPTION (office use only) //
LOTO BLOCK ADDITION l\ 0 ff ~
~~~
OWNER 1
(Name) r, LL(",~ <; llYl r J f)lY\(. -\I -toll
(Address) l~q/7 rY"'Cjr'~llOn ~.I~S
APPLICANT
(Name)
Wohlers Southside Htg.& Air, Inc.
6950 W. 146th St., #106
Apple Valley, MN 55124
(Address)
\~UUII;;)3)
(Contact Person) ~n ~ lc::t"b
APPLICANT SIGNATURE n~~~L0~ 6/
Date Rec'd
I Pink File PERMIT NOe(}'1.._00/(j
2. Green Cily ( - I V
3 Yellow Applicanl
ZONING (office use)
-R (s[)
PID;)-$ - 0.53- 06 :31)
(Phone) q5~!YY 7- 5loQ'-5
(Phone) qcs~! '-I~i -7cf:JQ
(City) (Zip Code)
(Phone) q'5~ 1<-16\ -76qq
DATE 8/31 101
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION ~ REPLACEMENT 0 ALTERATIONS
FURNACE tvlAKE AND MODEL V")cttfllOre.'. 6--1I)R:; 1C"f) FUELNQt1..Lr oj
FLUE SIZE RETURN OPENINGS INPUT i 001 OCO OUTPUT ~.(Y'-)
TYPE OF SYSTEM HEATING OR POWER PLANT
CWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
IKIAir Conditioning 0 Special Devices
Qlc.., OVent. System 0 Other Devices .
ffilCrL~ MAKE AND MODEL hCnrrore: C ~ T ~ (~110l-J-r:r> ItJ2JCLR)
It' -._~ rol'""u....OfJl..E
Industrial. Commercial & Multi-Family REQUEST FOR INSPEC
SENT TO H TION
Residential. Heating & AlC (New Constr RESp OMEOWNER. NO
Residential. Heating Only (New ConstrUt 4/20030NSE - CLOSE FILE
Estimated Cost $ J_- J l-L/-
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER...\1IT FEE
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
as Fireplace
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
~~
$39.50
,ddition~ 11, A Itl"rnt~
.C Only
lit #
$
$
$
3q .50
.50
LID. CO
Paid ~ L(CJ )CI()
Dato/j'- tI-() l
Rece!/05 3 t/
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