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HomeMy WebLinkAboutMechanical Permit 14. 0617 q 000000 "0 0 > ■ 0 E O Bs4 0 ■- ■it -n� 0 $ 0 �q ` @ �� �E�2 m 70 f �� n n % % § . m § \E§§ 0 $ 2- o � o % a -i -4 ■ -0 §© 0 t 1 g is cn 0 z z k 0 t § qis o Bk % @ 7 0 0 . a m m ,. �, :17,111 % , a © . 7 x r 0- - . 2 RI 0xx • 000000 xi 00 4 � ■ � ■ ■■ � ) / 0 x.§ mx. .. n 0 . LI \o k / > Q 0 M M .. M e r ,1 § o ■ 0 k / it !!.I >cc .0 a ii 73 \ DDD00 -} m , Q �� O § > QE 73 0 CnntM�® , 7 / 0 gk\§I m 0 -- mm _, @ ~ § % $■ Etrt -Ir Q j 4 r17ro CITY OF PRIOR LAKE Date Reed.>~° ,4 e HEATING/AIR CONDITIONING/FIREPLACE PERMIT '7 r, / V , 1.Pink File PERMIT NO �/A . /� /� NEso4P 2.Green City / V, /7 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 16sS )2;Ci er�h��a� / S2 t� LEGAL DESCRIPTION(office use only) LOT Se-B1-O ,IDe ITION PID 5-> (Il g'69�/e, OWNER 'I )a1Z•)SSq -0160 (Name) �rY'C s p1$S (Phone SAddress _ 2.-c • e Wet APPLICANT i (Name) ;r; C S ,'I�eel72/rte , ? ?' (Phone) q5 - 00 (Address) oq (")[ii" • If B urn S Ville , 11 N (Contact Person) —SAS (Phone) APPLICANT SIGNATURE f�il�-- — DATE 1-' ! ' 1 q APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION TAPLACEMENT ❑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 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity DHot Water into Required Side Yard Setbacks. 0 echanical 0 Radiation Fireplaces with Box Additions or u•ConditioningSpecial Pecial Devices Cantilevers to the Outside of Buildings 0 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 (rRl-esidential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 k(sA iWesidential,AC Only $49.50 Cost$ t uilding Permit# HEATING PERMIT FEE $ ----0 STATE SURCHARGE $ 5.00 .t-t - TOTAL PERMIT FEE $ 4 This Application Becomes Your Building Permit When Approved1.1", If Receipt No. g 'Date By , Building Official Date L 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372