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Mechanical Permit 14. 0736
w Z le) ] ■ � ■ zww < § 25§ �z \ \ a55W :.3..t. §\��k 0 sc z ~ \ ■ 0000 ❑ O . w �\ CO ■ r ��t • a 0 Z w d aa � r . wov. § 0 ■ be J§ ■ k o W w 4. Z - ZZ o a / - w 0 a- k § § x a / z $ a �§■ � � } ~ § § § § 2 cOCOO � Q U "" z x $ e �' > 2 _ ■ U1 0 Z I §i 0 < () U. _J1= o © o S � 0 • z . IL0 $ @ 0 z © § w k a & � co k���4 � W k F. § -J 6 \ UJ Ui UJ ce &cc ze v 2« o a 000000j,I OO $ 00/ i P RIp CITY OF PRIOR LAKE Date Rec'd ti° ' HEATING/AIR CONDITIONING/FIREPLACE PERMIT , 7• 2.9. 1y U 1.Pins{ File PERMIT,O. T `1INNHsOfA 2.Green City „�fj 3.Yellow Applicant J�F (Please type or print and sign at bottom) ADDRESS r ZONING(office use) ,535qgte,,,,,i,„ kw Z LEGAL D SCRIPTION (office use only) •?0-7-'3Oc6 v, 0 LOT GBLOCK V ADDITION& Lf. j_ ,, T)'1) ,, ( PID ilicat OWNER J�, (Phone) ��2 •�y�`o�/�y ) 2 (Address) St/ T delerWailib dial '• APPLICANT ,�I Lfin� • (Phone) %2• iii,5--.8�,'8C>' (Name) APPLICANT trih��� Phone 7 (Address) 2026 1 . 9 /✓406 1ñ41?b/214 ,./607 65371 (Contact Person) .,.i / c-k d.Gr (Phone) 952• i/i-f5'gar5 APPLICANT SIGNATURE � I i � I��.h0/ DATE gift-2i// APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 'REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL RPM 06 'AT EL FLUE SIZE RETURN OPENINGS INPUT 00,COO OUTPUT%,o02) TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑ echanical ❑Radiation Fireplaces with Box Additions or it Conditioning 0 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 $ 44.90 STATE SURCHARGE $ 5.O0.. TOTAL PERMIT FEE $ 9,) This Application Becomes Your Building Permit When Gas Fire61., Receipt Nek\ q lP5 ate / By P. Building Official Date �� i (1.4 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372