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HomeMy WebLinkAboutMechanical Permit 15. 0402 _ 2 1 § § j ■ ■ ui § zww7i. H 2 � \ § z aaa � « . � §� � � 0 , SQT. it0 E 4.2 \ 0 IL N 0 Ci a. a. w L z _ W CI I- ¢ k0u. � 0 . » 0 Q w % x 4 z B 0 _ 2x22 ow c iu § S U a SIw1mM a A ■ $ § u < § § u o 02 e p a � § � a � w w w k CG O = OCOO . kkre a a 2ILI § . � � II re . I-0 2 z0E5 � Z co© § k �� z �o § o u. u. u. ■ ■ e 2 1000000 U _ g£ y t rico CITY OF PRIOR LAKE Date Rec'd .�° HEATING/AIR CONDITIONING/FIREPLACE PERMIT 1~ U - to 1.Pink File PERMIT NO. 4"ANESo�A 2.Green City / , 9 u 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING((ace use) 5 55 9 0vet, 1ooK C ; *c14, S . c_ , LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER fJ q,L L Pt,-1--to S� (Name) l'1 (Phone) (Address) S 5 5 9 OVA'' look C; cA€.. 5 .i.• ) to r i c9 r L 0-ke i !' iv 55312_ i APPLICANT (Name) fiI 1-140.4:-/i, afrd Coo 1,`,1 (Phone) g$2.-tra-2,6 6.5 (Address) (0 SO I Co l,4,ti- Rd j oU, edit, �7 536 -moi I (Contact Person) /.Q,qA .$ ; 1�v-, 1401,,,,•,,4,4-r•o r, (Phone) 4 5 2-Y-7 2- i26(�, APPLICANT SIGNATURE a DATE (-1/2.0A5 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION .4ItEPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL C0,41";.4.-§e- S q Alla 77 4 0130 V 2 UEL N 6ct, 'j FLUE SIZE 6 '1 RETURN OPENINGS ? INPUT TO,00 o OUTPUT 771 60o. TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Watm Air Plants ❑Steam Units and Fireplaces Cannot Encroach CI Gravity CI Hot Water into Required Side Yard Setbacks.. ciNfilechanical CI Radiation Fireplaces with Box Additions or DAir Conditioning ii Special Devices Cantilevers to the Outside of Buildings 0 Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi Family I%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 $49.50 Cost$ yK$0.00 Building Permit# HEATING PERMIT FEE $ _ti'7•S 0 STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ y r S 0 This Application Becomes Your Building Permit When Approved PaidMireipt No. i to ( Building Official Date Date INIBID 1 24 hour notice for all inspections(952)447-9850 IP II 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372