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HomeMy WebLinkAboutMechanical Permit 13. 0970 0 ® � 0 0 000000 - a 0 > 2 2 zco 0 0 z m z m 0 / > 0 \\\ ���Eco m m q k C r � - m e m z 'oZ @ - 0 \ - n� \ } m 0Qfe P /0 > m � . I '' g \ 2 - m m mm \ 0 > z 2 § 1 z IkEE000 _u 0 f m §mm [ $��t� F 2 ® - ° - /' / 7&m?& -o 0 cn k 0\ 1 -n2P m 0 0 f? m § q �_ � >000 0 K§ m - m /-� rin oo ° U z c c z c \ z } m r- �� g m ® � � { m �\ • o 0 r \ 0 000000 \ � 7 > 0 _.1) $ > 0 E_ �§® \ 2 A t % 2 »kk %7 \ q ■ § 2 4� m qr 0 (),,r2!!°+ CITY OF PRIOR LAKE Jbwl * 3 3 Date Rec'd F HEATING /AIR CONDITIONING /FIREPLACE PERMIT U ny I. Pink File PERMIT NO. �) 411 NNEsd C 2. Green City /3 , U 970 3. Yellow Applicant ase type or print and sign at bottom) ADDRESS ZONING (office use) S'k w T 5 &n roV1 ,e' S'e LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWN) R . 1b� 54 (Phone) 95 - L i0_ © ( -X ) Name Phone (Address) 979 5 S 14culvis)v) `A v I S t APPLICANT (Name) r v " ■17 . _ l it A l • 11' A 1.`' (Phone) L S l - - 431 - (Address) ) 0 1 0 4 V-V VVl t I t( b v\ I (Contact Person) V yti M (A-1/1, C S' Oki (Phone) Le 51—g 3 Zisc APPLICANT SIGNATURE 0 11 0 DATE q J f J f 3 III APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT 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. El Mechanical Radiation Fireplaces with Box Additions or . Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑ Other Devices 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 Cost $ Building Permit# HEATING PERMIT FEE $c1'456) STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ 5 H- 56 Application Becomes Your Building Permit When Approved Paid j c1) Receipt No. / 9 (/g f Building Official Date Date /�i 3 By� � ( � 24 hour notice for all inspections (952) 447-9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 • 1 •