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HomeMy WebLinkAboutMechanical Permit 15. 0009 - k § j ■ — § § § vv <§ 0 PD iO ❑ § ■ § § Cr X U. IN 0 M % do §§ § X k k § a I- ■ ■ 000 < 0 t t P. 0 0 Cr ca ■ Jco ■ . w $ § ■ U a § Iw § I . o. J � 0.X5 § o.Z § § 44 ILU 000000 Na 2 I- >: >: e � « W w 0 < 0 i % § 0 0 $ 0 q k / k z I- 1- 2§ co Z 2925 z Z © w w w 0ua Cr Z g5 - = gWZt E 0 Cr k 11 0 § 0 0 u. u. u. 3 ■ ■ o ■ u u riz « 0 a 000000 U O 0 5. ° of PR/04, CITY OF PRIOR LAKE ' . Date Rec'd .4 t HEATING/AIR CONDITIONING/FIREPLACE PERMIT �F`- l c "N!2IvNEso /' 1.Piny File 2.Green City PERMIT NO. 6 1 ap 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS /Wis- mei( ir ' S 6 4 0".% L (u ,)41\.). � (office use) `p j; ONING 12:C50 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID os->L5<--a-d7A. OWNER /7 V i (Name) kb 6 �a �'1 ,^rSw t (Phone) 9c-2_ Pi 7 / 7Z (Address) APPLICANT (Name) 0 Z c .i..1 t• (Phone) • (Address) (Contact Person) (Phone) APPLICANT SIGNATURE /el DATE 8 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT , { ALTERATIONS FURNACE MAKE AND MODEL G-r< r y �c1 � ,r Nie. FUEL f`I C, (.7 , FLUE SIZE RETURN OPENINGS INPUT OUTPUT -Mit TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner 0 Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑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) $64.50 Residential,AC Only $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ Lig, .S7° STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $S 4. s u This Application Becomes Your Building Permit When Approved Paid <q ii..•0 Receipt N• c l Date i I di(s By 5pittA) Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372