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HomeMy WebLinkAboutMechanical Permit 10. 0964 5 00 •n O 0000 ° 0 > ■ n & ° ® 2 73 I § \ E kg�kkk z m 73 m0 k � 2 � � � ■in r �§ § 2 � x � � �® 2 .0 � Q� Q P 2a10 § w © z kd §$�©Z -i 0X , nfr t 2 § §�� kk § 00DOO hi Z . m m .� ® ■ sem 0 x m m 7 m � � mr § \ e f m � 0 t % § ■ � � § m § n e 2 .en § t § o§ § § q m ■ C) 0 r -n §o x) c / z . > CC z r % § $ co . r 13 'V P m . 0 hs / 0 x 2 n . 9 �' 2 2 . _ O ❑ o ❑ OO ; /0 _ / § § k§ s § -0 ' fir 7 z A > r Ai -nxj / �• : § ' E § -1i 0 o� pR1o� CITY OF PRIOR LAKE Date Rec'd ~ 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT ity `1/NNEso�� x 1.Fink File 2.YePERMIT NO. O f --4'. ' 3.Yellow Applicant ` (Please type or print and sign at bottom) ADDRESS ZONING office use) 1140 LC- k 1i & 1\ o CL LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER c,,, ON'-" ►r`'1(r \ (Phone) 1 C4--r%-o�4.-- ZO) (Name) (Address) \ b a L \\�51 (L V APPLICANT (�r� ,,} '' ___ c-,r1 hone - \.- ,\k (Name) \ Lam\- it ' , � (Phone) C1 S a`"�4, (Address) 1 L (\ ? ° \r-1 k\ l U P"\kA.P1._ Q C i U- t4 5 z, 26 (Address) (City) (Zip Code) (Contact Person) \ Q ' \ � (Phone) r a-\441 -V 1£1 APPLICANT SIGNATURE (r\1 ` '`' DATE 10 t\' `l APPLICANT PL SE COMPLETE BELOW ❑NEW COASTRUCTION REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL r\ tn% 3 c-5-(..R V OM O FUEL ,V I\1-' FLUE SIZE P VL,, RETURN OPENINGS INPUT k. .1 1 g O U OUTPUTS, 0-"Ct. 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. ❑Mechanical ❑Radiation Fireplaces with Box Additions or .Air Conditioning 0 Special Devices ❑Vent.System 0 Other Devices Cantilevers to the Outside of Buildings 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 $49.5( Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 egy Estimated Cost$ "1\\QiCS Building Permit # HEATING PERMIT FEE $ . STATE SURCHARGE $ SW TOTAL PERMIT FEE $ C M .S Qy (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 5_4/ c Rece',; q (/ /,co Date/G to . . , CL b Building Official Date u 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 dr 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372