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HomeMy WebLinkAboutMechanical Permit 14. 1176 5 0 ❑ C) 000000 U 0 > 20 n 0IF 3 co.71 z 0 so m5 p ° 0 x rAzc7,c0 m m m n0 b a ° M m 3 r 3z co ,i'n M m y m z � Z ° z ZO to Ov hi .n1 > Z 'o OG)-a_iG) Z- to g y 0 'i Z o z , S o °i -I y ' N - Z o 4 o 0 Z O ( z ms.m 0 r> Z 3 1 m 0 73 73 Z 73 n A M m m m i 0 0 0 0 0 Gr) rcng3 � N ° ° o ° -ain ° c, z co rn x31mmxW m n co0 ti C - -ni l zzxomz 3 Z m '° cmi 0 r „ go 2 qC o tri 0 a Z . Zcc Z S r Z 71 m k ra- •° '9 Q p M H O c y m 000000 .�---- y Z 73 0 ?1 �inL11 a D r. ymm30 t 1'c m ei.4 1..-. mi -o %I z H ammo m x � xi _, co l talo CITY OF PRIOR LAKE Date Rec'd oV```` '''� HEATING/AIR CONDITIONING/FIREPLACE PERMIT I.Pink pile PERMIT NO. /0 , 2.!e_ / y ,./ 44A'NEse 2.Greece City 144 //t 4 3.Yellow Applicant i (Please type or print and sign at bottom) ADDRESS -j. ZONING(office use) /- /E C/' (/ /e7,° -/I e/—' -'' ' Z. '. ,t"e' 4/ A. P0-6 LEGAL DESCRIPTION(office use only) l LOT BLOCK ;�DDITION tJ ,�/ PID 07,E.-,15-- 0 4/6 -C, OWNI (Name)ER -c sz;e��c'7.-- (Phone) 0---Z , ZF3 (Address) APPLICANT - �(Name) Z/� e`2l - / Ne C (Phone) Y ) '/�_ Z i77.- (Address) C.) . C' / /..' 9(1)0/e/1,4 r/'//,&- S3—,3 e-7 (Contact Person) Zd,r�� /-,/. ��- 7-�fsit- (Phone) -2-c-- ----.C ./-- 15�77 APPLICAGNA DATE -.-' 7-77,: e., 7,:� APPLICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION PLACEMENT ❑ALTERATIONS � FURNACE MAKE AND MODE e,,-64 SS__SC'S {{'i la n FUEL . id/ C. � FLUE SIZE ? l/ f RETURN OPENINGS INPUT�jc� ei-e r OUTPUTS?.' ci 0 c TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. DMechanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings 0 Vent. System Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEI.Z > Fes' :S' 15"-e ;1€©�a- FEE SCHEDULE Industrial,Commercial&Multi Family I%ofjob 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 $ .. -S r STATE SURCHARGE $ 5.00 i TOTAL PERMIT FEE $ .�'Y.. s"v I This Application Becomes Your Building Permit When Approved li Receipt No. rp 5- , ,, B Building Official Date Date p` , , �4 y 42 24 hour notice for all inspections(952)447-9850 L 1 4646 Dakot�a^Streeet S.E.,Prior Lake,Minnesota 55372