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HomeMy WebLinkAboutMechanical Permit 13. 0644 J 1. - LLJ w z z►- Z w J n : V' Q _ \ wwa > ill U U C7 Q ' 2 w o. n. J z ? 'd O0 < _, ( W0 cece . 4 O ' i � + ,444, ❑ 00000 O l 0 2 ,` O N 0 r Z w C 0 w , z v a 1 o U w > > Z w i F_ OO w 3 Z w Z ? - S 2 2 LL 0 4 O F 2 $ 0 W m��n m ''� o o z x k, N n. � 2 � 2 U 4 1.... JwQ JW a z a � 3 v� a � 0 re w C4 0 ° 0 00(7C1�❑ J ) Z J O LL 0 t,4 re w �� z ' a o 0 ._ r, u4 Y O U) 4 _ a w, 22 cc Z O z0 w 1-- `n w w q O z c Z z w � U a� N Z � 0 `6 w z w z OOOCZZF_- 0 f, 0 0 c n . LL LL LL— LL N U Z a 0 a 0 ❑00 0 rRio r CITY OF PRIOR LAKE Cy DaSe Rec'd aP HEATING /AIR CONDITIONING /FIREPLACE PERMIT 1p / i v r 1. Pink File PERMIT NO. ''INNESO�' 2. Green City /� j i 3. Yellow Applicant / / ' (Please type or print and sign at bottom) ADDRESS ZONING (office use) S S DO VIicx42 ‘ TRiv:k \A K) ' ° • 7 c sh LEGAL DESCRIPTION (office use only) 4,.. LOT / T BLOCK 7 ADDITION cf J 5 L/ „1 PID v? - / " 0W-6„' OWNER € r$r+\ C -vRA-c. ov2 (Name) 'R C . 53 �e_ m 5 (Phone) (o 5 I - 4 S3 - © 2‘4 (Address) APPLICANT Cr. (Name) C l— , k. ,2t.A W gG0, \. (Phone) .-- r(p''j " 2 . - g "7,1 (Address) (..pr cQ k 5c�1 1/4,1,. L'V . CA" . 1 .Sk.:e , kC (Contact Person) kb-3 \ 'YS (Phone) Cc:112. •' at) ' Z C0' APPLICANT SIGNATURE 1. � r•eAw ---. DATE ( .o° 2'4 r \r3 APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION ❑ REPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL ` 11 � NE AS' O �-�" O FUEL � AS FLUE SIZE 2`` 9\Z' RETURN OPENING Q INPUT (Qb 1 OO OUTPUT 5'S 2 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. iN Mechanical ❑ Radiation Fireplaces with Box Additions or ii•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 $ 4 % ` 5-0 STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ -i' This Application Be mes Your Building Permit Whe Approved , MENESI' q Receipt No. % • 6 '2 _ i., - pi-t 0 MI By : • ; i 0 cial Date .: 24 hour notice for all inspections (952) 447 -9850 4Ib 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 { + h i ¢ . . � ✓ l 1 } i f t 3 I j . i 4 . 1.4 • k - f I'. j ii t i • i i 1 i , .E 1 i 1 p : i ■ i i t • I G • I f t 1 I ii . 1 li U • P { 7 , i j j i ,< k i , 11`. !' u ; I 1 � , I