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Mechanical Permit #08-0957
DA E TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED I i- �' ADDRESS �^� ,j�,?� ��, ,�.�,. �T' f� �,,, OWNER CONTR. PHONE NO. PERMIT NO. C'� ��' C� G� �J ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ,..�;FIREPLACE FINAL O FINAL O PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAI. ❑ COMMENTS: '� ��� ; L. ��%"r - �� �°� . ^v,-, G � i " "'� i :� ° ❑ WORK SATISFACTORY, PROCEED ❑ CORRECT ACTION AND PROCEED ❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector , .�l�'--y Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AvVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTI ;�� � CITY OF PRIOR LAKE Date Rec'd �,° �� HEATING/A[R CONDITiONING/FIRENLACE PERMIT � x ;.� � '''tih� ; �,',�,� �;�, PERMI"T NO.a$, �-5-----I �,��,,, ,�„��.:��,� �� (Please type or print and sign at bottom) _ __ � ADDRESS ZONING c��rr��� ��,-�•� ' � 55�5 � o r� ( ►� f�l� -- - - ----a ;r LEGAL DESCRIPTION (ot�ice �ise only) � ! � ; i � LOT BLOCK ADDITION PID � � _----- - ---- -- -- --- -----._ _------ ---- ---- ---- ---- ----- ------, ' OWNER C � (Name) _ i , (Phone) � f ! (Address) 35 S�ore �r IV� � FUL � � ��� / � _____�_ _ __� _.____. -------- --------------.___.__—.--- i APPLICANT � � _ i i (Name) (Phone) .,�_ ��� _____ ' I � (Address) �n,�! �S � S� -- I j (Add ) (City) (Zip Code) � (Cancact Person) � � �' (Phone) ��lZ -��.- �-�_ � APPL S IUNATURE DATE � .APPLICAl�T PLE4SE COMPLETE BELOW ❑NEW C:ONSTRUC'T10N ❑ REPLACEMENT AL'I'ERATIONS I I FURNACE MAKE AND MODEL — —T�____-- ----. FUEL _----------- _---.---- � , _ .. � FLU[� SI"LE __________,_ RETURN OPENINGS _�___ ______ INPUT «___^ _____ OU'TPUT --- ------- —_._ � �' TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑W arm Air Plants ❑ Sceam Units und Fireplaces Cs�nnot Encroach ❑Graviry ❑ Hot Water ' ❑ Mechanical ❑ Radiauon into Required Side Yard Setbacks. i I Fireplaces w&h Boz Additions or ❑Air Conditioning ❑ Special Devices ❑Vent. System ❑ Other Devices Cantilevers•to tbe 0ut�lde of Buildings v �� Require a°Building Permit. � FIREPL.ACE MAKf AND M(�nFI. m�� `�-c� _ __ . . --._ ._. _...-- --_.._._ FEESCHEDULE Industri�il, Commercial & Multi-Family I% of�job cost Residantial, Gas Ficeplace �49.�0 $49.50 minimum Rrsidential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations S49.S0 Rcsidential, Hcating Only (New Construction) �64.>0 Residential, AC Only $49.50 Estimated Cost $ ___ &iilding Permit # _ HEATING PERMIT FEE $_�SO STATF, SURCHARGE $ .50 'TOTAL PERMIT FEE $___��, �_ �c�rf�.�• u.� o„i�� This Application Becomes Your Building Permit When Approved Paid �}'� t � !� ceipt No��`�^ � v .v 4J l � nite �`, l1•U� y «- — 13uildine Official Uate `_ �,_---.`!_____� 24 hour• notice f'or all inspections (952) 447-9850, I:�x (952) 447-4245 4646 Dakota Streef S.E., Prior L:ike, Minnesota 55372