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Mechanical Permit 15. 0287
. _ . g 0 O •1 n 000000 'V 0 > En § n k km x 5 Mkc� °51 -71 k z m 7, m0 c c m 73 m n m m Cn M i � § z-IQ_1 ® pI0 2 0) 2 2■ 2 q > .. § 0 \ 0 > 2 m m m 27 r — X r 0 ■ -n -a To m OS M 2 0 § 000000 m q VT E17 ® S ; � E o o nc -40c % z ■ mI ■ n ■ C ® P m 2 - "P3 = rn 0 1 0 \ / •z . r - § k xi g e . § % z $ m 'n -0 § ( m 2 ■ X Fri 0 ' I a 2 . . OO000 ■ m z K '0> rn "0I, i% XI m \ o -4 § xim , 2 m -Ii B of PRI94. CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT mi ,l P 1.rink File PERMIT NO. -� ' INNesot 11 2.Green City 3.Yellow Applicant / !i� (Please type or print and sign at bottom) ADDRESS NING(office use) Lt396 aPsinft Doe 1VE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (fro() . Jew 5Qi bat i= �,y 2.� 7 (Name) © (Phone) C l (Address) it 3e0 GV estouf Lr IvE IWO( (are g5aV gaPnaliel)CANTkOr5 Aec 0111c4I (PhonegS/ -15 95e5 (Address) 202-6 rC ((OC r�l� � c 5��� �57c ' (Contact Person) Lin (Phone)� 46 005 APPLICANT SIGNAT ibli DATE tg-W-15 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION REPLAC T E �IO�j S FURNACE MAKE AND MODEL �4 U � � ' FLUE SIZE RETURN OPENINGS INPUT OU UT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 0 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) .6A fee Residential,AC Only $49.50 Cost$ ,/ I 7k✓Building Permit# HEATING PERMIT FEE $ POP it 1..527 STATE SURCHARGE $ 5 01 5-al r.„,-AD PERMIT FEE $ ",,erd1 i This Application Becomes Your Building Permit When Approved Paid 32/IV Reef'it No. 9:53- Building Official Date Date¢-.,6 ,/Jr— r (, ax. i 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372