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HomeMy WebLinkAboutFurnace 13.1361 E O O 0 000000 Ti 0> E0 n , g 0 0 0 . M§ Z CO O 8 Z m M m § R x A, x E "cmz§ m ■ § n@ § ¥ § § > g § %BBB 0 xp k § § 0 z § CO \ � \ / j 14.141b � . 0 X f \ § 7 � ..\ m § �u m '0 0 OQOQCO ■ o k . ■ \ oc - � § K f ` � § § § m p �' 0 Q ii ° t § . m N. ; * 2 2 c § k R § \. �\ §�� P � , § r. 0 \ = m 0 a 0 m cOQOOQ 4 z � � § . II �n§ ■ m k z � � � � >1 i 2a E § k A 0 �' PR/0 CITY OF PRIOR LAKE t q.5° job# Date Rec'd HEATING /AIR CONDITIONING/FIREPLACE PERMIT 3li$LeSCe tt I 2P 1. Pink File PERMIT NO. NNESO 2. Green City (Please type or print and sign at bottom) 3. Yellow Applicant /` "' / ADDRESS _ ZONING (office use) 511 0 L<i C-1- S G LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER �ii� (Name) ��'i"tA) t OYS 4'h CA (Phone) & 12i 21 L - I 1,2S (Address) 5 116 Lkuili in N 6 J APPLICANT , (Name) © t�► e (JLY h U� �1n. ` 4-- Ai v (Phone) I, 31 o 3 (Address) • 0 V' i 1 ©" 4 A 14 I A A s 6 (Contact Person) ) ,Ir� I (Phone) (/S) - 4 / 31- 3g o q APPLICANT SIGNATURE ail /7J2L DATE j..2—/ 1 1//3 APPLICANT PLEASE COMPLETE BELOW ❑ NEW CONSTRUCTION 'REPLACEMENT 1=1 ALTERATIONS FURNACE MAKE AND MODEL f1/4),(Y\ °uln i _ t st - FUEL fl C(.+ of c{$ FLUE SIZE RETURN OPENINGS INPUT 100 0 v OUTPUT (0-ta (0—tai OO 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. Mechanical El Radiation Fireplaces with Box Additions or 0 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 $ L . 5 O STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ 54. This Application Becomes Your Building Permit When Approved Paid j---7`'sv Receipt No. G� ,1 4 - 0/ Building Official Date Daj4 11/43 By 24 hour notice for all inspections (952) 447 -9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 - . . . - • e