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HomeMy WebLinkAboutMechanical Permit 14. 1098 J 0 0 n 000000 -0 013 > §© nfi k . - dr- sz§ _m 72 la 0„ 0 ® Z $ %K� o P �■ % �_ -I m o § N z o 0 co 0 z a o■ hi gol 2c > 0elb. 0x M o r z ■ ` o @, >. m 0o X (N v2. QOQCO 'n >c § mm mcol■� ~ . � � \ v ? 00 � �a` m � 7 " 73� m o r o H co E 2 0 ' ( r ,i0 0 c k q U a - ® f c c z r 0 P. m p • r � � p / 73 tO 2 o 1- . 000000 ....r, F ,„ ....... . . R 0 o33 � om �K E 26 v ■I> CA G) 11 \ F . J2FA1 A § 53 •• 73 F. 2 a � ■ c -4r o rnita CITY OF PRIOR LAKE Date Rec'd ti HEATING/AIR CONDITIONING/FIREPLACE PERMIT 11 t+\( V, 4. , iy HPink File PERMIT NO. / �/NNESo� 2.Green City i /6 9^? 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 4ati ro elvesfyllii-- Lar. i c 73/ LEGAL DESCRIPTION(office use only) - LOT I BLOCK .ZiADDITION c.,, , i// 7Xj rye�� OWNERy t (Name) o�r1 Fes, I 0 as r (Phone) / •W7-V-9? - (Address) L aq i f 1ees4r1,U 'Lak..11. N C APPLICAII —7 (Name), C (Phone) ( (43 383 F5 (Address) LIO n Or Q £ j p(Th ` (Contact Person) but a„ r (Phone)-76 3$c5 I O APPLICANT SIGNATU' AWAtMiraL DATE Z a rl 4/ - APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL z -cut}alsoWLIV FUEL FLUE SIZE RETURN OPENINGS INPUT $Qty 0 0 OUTPUT-757;cyx:D TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner 0 Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach El Gravity ❑Hot Water into Required Side Yard Setbacks. 1.Mechanical 0 Radiation Fireplaces with Box Additions or fr > it Conditioning ❑Special Devices Cantilevers to the Outside of Buildings •Vent. System ❑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 $ Li Ri 50 STATE SURCHARGE $ .00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved id ut ° Receipt No. LL> rn. ,.�, By �► Building Official Date Vate U +\ . 1- 3'1 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minesota 55372 1