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Mechanical Permit 15. 0156
J to Z _ Iy.! ,Z WW Z ' 2 W 1zg ...� a OpNF V LU Z c V] UJ ) titt0 z �,W co ce otu gr G -. . 1 W Z 0 w O 0.na.D < .o CO c O Si J • Z Y Y Z Z 4 _ F= G ci H E pOtiJ 6 O U W oC t=,) •• O W Z — = = Zz U c D �' ti to 8 h Cl) C) a g = W E2Z i N Z QC S Ja23 (na2 Mau v v111 Z t`' J © o a 4 0 w W W 1- Z p 5 PI 0 Z O ZO W F"' 1- 1- Z a Z < c) aa." N Z zOZg z W co Wa' UJ -I q et 0 OU.C) W W W OOr: zo��ZFLI O O O V V y 0 O u. u. u. 3itco 0O 3 0 o 1. c) Z < 0 o=. 0013 ❑ ❑ C.) S. o. PRI04. CITY OF PRIOR LAKE Date Recd HEATING/AIR CONDITIONING/FIREPLACE PERMIT U tx `$iNNeso� t.Pink File 2.Green City PERMIT NO.`S `fS6 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS , ZONING(office use) ' 2cq f*fc?«,5 Ocie wf RIO( OW LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER VicKI r ame) t be r (Phone) (Address) [31g61 l e (f�9 &(cfr Nf fax can,, 55g72 J kyi. MecVav1cai 05-9'..... 5-(Phone� J )(Nam (Address)2026 Ca( j(1' Dove 541wr mil 55y1 (Contact Person) (Ada (Phone) 2 Li1f5 a5F5 APPLICANT SIGNATURE DATE a - 13-15- APPLICANT 3-fAPPLICANT PLEASE COMPLETE BELOW :NEW CONSTRUCTIONREPLACE T ALTERATIONS FURNACE MAKE AND MODEL E,L� 3tAF,I ISD , F EL FLUE SIZE RETURN OPENINGS INPUT ` ),(;I rc) OUTPUT 1 TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach Gravity Mechanical 0 Hot Water into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions of 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 $ 44)1 STATE SURCHARGE $ TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid W/ j. IF eceipt No t r Building Official Date Dat , r ► ilk 24 hour notice for all inspections(952)447-9850 if 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372