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HomeMy WebLinkAboutMechanical Permit 13. 1270 0 000000 Ti 0 D. 2 n ok K 0 ■-n - n -n 0§ 0 0-1 \ § § 2 3iE § -� Of > g % E z - � o cz 04 \ § > Z § © Zq 0 . 0 % 0 xl > © Pi._ �� m m r § 7 • o I z c 0 0 ` 000000 0 _ \ Z § 0 °. ► m ����� ■ 2 »m | z - `I -∎x mxE m 0 ■ o , -0037373,5. m 0 0 \ n% § ( » O O 0 _ 3 m % 0 § Z �z22 Z r 0 c k ~ I o I m r 0 ƒ o , / ` � _ m 000000 MP Q �� o ` 0 Am > z u)mm2§�� C7 1 ■� §�� q z m ;; s g hl n r s ©A■ m �� q � / _ � t § ■ -1 r 0 PR/ CITY OF PRIOR LAKE v Date Rec'd 4 1/. /Z (3 U .� � �� M HEATING /AIR CONDITIONING/FIREPLACE PERMIT 1. Pink File PERMIT NO. /� M INNESe * 2. Green City `Z /2-7 ° 3. Yellow Applicant �/ (Please type or print and sign at bottom) ADDRESS 11-(' i 75--- s.t q\ �' ; c c X 6 t�(.� ZONING (office use) P :\vv t--A6 P )3 D LEGAL DESCRIPTION (office use only) fr , LOT / BLOCK t ADDITION `te r (<1 ` 1 4) PID 495 0729- 009 OWNER nA / n (Name) ( , ktk5 t (Phone) 6 (a- 6 ! i 7(): (Address) ( ame -' . I v1'ke. Rv ,/A -k 4+0 s l y Lu- (Phone) '3 O ',v goon (Address) c 9b5b kb ( Si V t (5 _\- bva S'Sbl (Contact Person) rb\",, Ve APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW CONSTRUCTION REPLACEMENT ❑ALTERATIONS URNACE M • AND MODEL FUEL FL b ..= 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. ❑ echanical '" F � CI Radiation Fireplaces with Box Additions or it 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 $ 4f. .. -C STATE SURCHARGE $ 5.00 ,TOTAL PERMIT FEE $ 5'L4 S 0 r This Application Becomes Y r Building Per Date By W ` .y en Approved —� v o Receipt No. /0 it Z 13 BuildiTT Offi I Date 1 ' (� _ y A 24 hour notice for all inspections (952) 447 -9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372