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Mechanical Permit 14. 1011
2 II 'II ,xi x z 58 �5, tli 0 D z §m m § r 0 3 X m ' I ' A �. 0 FR kl kk _0(\ r k- / pg, g r. 0 t4 ¢ 0 . , Ni, o / cO ❑ OcQ R. » § ® 21 � © [To ? > C�'0� G .g $ n m �� � § q m tRI 14 , Q 0t § ç) m � r Q i vitro* CITY OF PRIOR LAKE V Date Rec'd ti p ° e HEATING/AIR CONDITIONING/FIREPLACE PERMIT �,7 q U ,r, x 1.Pink File PERMIT NO. . IN/ I IIIINNEOCI" 2.Green- City 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) 13 ADD t/6 Vfe SW Rio( (Ice S l(Sj) LEGAL DESCRIPTION (office use only ` • LOT BLOCK /5 ADDITION °9// /ee•) BE 4C% PID,q,5:/3 --e09.-0 OWNE (Name) Or ieru1 ) 7 I L'TIJ1 //� rt— (Address)-3090 } (Address) i f 1(v(eW SUV Dior (a JJ /2 APPLICANT (Phone) 952-445-8585 (Name) Rons Mechanical (Address) 2026 Colburn ?Drive Shakopee MN 55379 952-445-8585 (Contact Person) Linda (Phone) APPLICANT SIGNATUREVCA-)10\1") DATE CI "Wig APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION C EPLAC MEN TERATIONS MODEL E1.,2 tAHuit V UEL NU FURNACE MAKE AND �QY1Y�C FLUE SIZE RETURN OPENINGS INPUT OUTPUT (64 WO TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑ ravity ❑Hot Water into Required Side Yard Setbacks. IJ Mechanical ❑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) $64.50 Residential,AC Only $49.50 Building$ Permit# HEATING PERMIT FEE $ OA 50 STATE SURCHARGE $ 5.0 TOTAL PERMIT FEE $ 5A-•PJ� This Application Becomes Your Building Permit When Approved 6/ .� Receipt No. r 9 4 ''ateG By G' Building Official Date 1 ' l- 1 ( 1"� 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372