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HomeMy WebLinkAboutMechanical Permit 14. 0176 J 0 C) 000000 l o g En 6k $ O ■ -nk-n -n11 o o '4-:-.)--. § kz §n kc2Ii 2 ° R ■ Aze, § brm m ■o ■ ■rn nn ■ $ -1011. 6-) t k z>n 910 k9 CO © �� § z % k 0 � - 0k k zmm % 0/ z -0 I • ` % m 2 0 0 000000 Z ■ © m m ■ 13 t m ■ m m mr > Mr | CI cn f � � � : r ! oc -10c nix PIlk 0 03 § G § $ � § ® m z P. m 0 .. 20 K § m kert N. m O ❑ QOQ , a ti E XI � � n § � � -4 a. 0 § RI % � � $ . - \ 0 _mm \. . § - - m Wit - z k . .. m �` -ir 0 ¥ �. , � P't OV n o4 CITY OF PRIOR LADE Date Recd r�` HEATING/AIR CONDITIONING/FIREPLACE PERMIT 7 3. '7. (4- 'rrnvivEso�a 2.' p"' �11e PERMIT NY �`lllo App C?. 14(Please type or print and sign at bottom) 3.Yeitow Applicant a ri � ADDRESS PeckOie ) CA- ZONING(office use} 5 6 ( _ LEGAL DESCRIPTION(office use only) _'' LOT BLOCK ADDITION C rN }�2 0 i N> }�...( i ) )-h PID 10(..k. 5)-n as335oi --10 OWNER T1 , t&n (Name) o be � iv Di co. Po Id (Phone) g -1414-7--L(07ii se, (Address) 5"S toll rneadAw 4set,3 CA- SE Tr f e7j L Ice (n k) S APPLICANT-1-6+A,I N O e Q G (Name) C �1'�-1 bri- (Phone)i1 34 - 3p 3 (Address) &%o „ , A Ni . 'i (Contact Person) sa ,A a (Phone) J' 3 C 0 APPLICANT SIGNAT _ ! '.1__� ! DATE 3•�y • V APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION $REPLACEMENT ❑ALTERATIONS FURNACE-MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner DWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water ❑Mechanical into Required Side Yard Setbacks. ❑Radiation Firs [ 'Air Conditioning DSpecial Devices places with Box Additions or __I Vent.System Cantilevers to the Outside of Buildings ❑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 Residential,Heating&A/C $49.50 minimum (New Construction) $149.50 Residential,Additions&Alterations $4 Residential,Heating Only(New Construction) $64.50 Residential,AC Only � 0 Cost$ Building Permit# HEATING PERMIT FEE $ 4 g e 50 STATE SURCHARGE $ .00 TOTAL PERMIT FEE $ 5 4• S O This Application Becomes Your Building Permit When Approved Paid -C. MI Re• pt No. a Building Official Date Dad!.lel a GI • 24 hour notice for all inspections(952)447-9850 6 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 ,