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Mechanical Permit 15. 0269
5 0 0 000000 -0 0 > E n n n 0 0 K . 2 A � Kkk �2 m c ■ § > xi 00 § $ma § § 2 0 §� ��j % 0G � Z0 e04� 0 c z z §kPI ■ § 2 z § �. z §k , © m % § r z g r o 0 a m0 73 2 C. % m 73 0 0 hp. q 000000 xr ® r CZ Z z o o m > m0 & -1 n ■ ■ 7 § - 0 2§ 77 � k ni§ % k § / Z r2 §§ ■ ' 2 § m % > c § D b I � § 0 § . .0),:(14t0 I:1 0 �) § 2x00 § © P m -o gkk �> n- ammzm § Pi -n ■ � � § §§ t ip.1",,to,t, CITY OF PRIOR LAKE Date Recd '' ' orr ' . ) G/FIREPLACE, PERMIT r C„ � r� 'it' -f 440,a:so,'" Cv.4 1,w (* 2.1_r�wrn,�x r(Yeg I PERMIT NO. np �I/ 247 ,1 �'[aUN' Applicant (Please type rpnnt and sign at-bbottom) ADDRESS ZONING{oficeuse) . rapakAv-e...ntAt -11 E LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER _� /t e� f 012 "Lf t t ! f, `�/ _ / (Name) _(� .____ __...... _ .. (Phone) t t� .-.... `1 1 (Addressj �'" APPLICANT' HEARTH &N 'I `I'ECFINt5C0�TL5 25 7 —_.-- (Name) dba FIRESIDE HEARTH &HOME _ (Phone) ���� 3 � rat l.. tic i3C662656 T , (Address) 2700 FAIRVIEW AVENUE N � I �L ��' (. ��Ja" �3i � ROSSAIL4E, MN 55113_. 651,633.2561 `` f - Loft,- (Contact Person) ----_. (Phone) heck 1'' J j J� t APPLICANT SIGNATURE ." )A ,,�� /, �c 2. DATE (��G 0{� �! or e rn�� t t imat t: R vi I Fe_ 6t,Lilc.lei-._bps bacir. pe r 1'rVi-k s....3-- APPLICANT PLEASE COMPI,EI F BELOW Sa_he..4I-4 i h t-urrn DNEW CONSTRUCTION tEPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT —� PLEASE NOTE: Mr Conditioner ❑Wats Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Winer into Required Side Yard Setbacks, InWecbanical ❑Radiation Fireplaces with Box Additions or DAir Conditioning El Special Devices,.. ['Vein.System ❑Other Devices Cantilevers to the Outside of Buildings -_------_—�__.__ _ Require a Building Permit. FIREPLACE MAKE AND MODEL E 1AT A �' `�,` _ - FEE SCHEDULE Industrial,Commercial&Multi-Family I%of job cost Residential,flag 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 $49.50 Estimated Cost$ Building Permit II_-_-___ the Minnesota Statute *32611.I-18 "St"RC!lAR(il has been changed for one HEAPING PERMIT FE $ ..._.___ )ear elketke STATE SURCHARGE $ .50 .luh 1,211111,moo June 311.21111. "TO'T'AL PERMIT FEE $ I he mini MUM surcharge In a"fl ul fee"permit (Office Use Only) is':!S brainninv.luly 1,20111 This Application Becomes Your Building Permit When Approved Paid 6 • Re ipt No. — _ Date 3. 1 it- 13 Building Official lime - 24 hour notice for all inspections(952)447-91350,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372