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HomeMy WebLinkAboutMechanical Permit 15.0128 J W Z 1 (4 F - � Wre IL E Uaa� a !Z w viv W 5\ 00. W W NkJ aorece < Z �Q �! G • _ O u. u. 0 W IZ Fr ❑ 00000 > 2 ft 1 0 iN 0y lu aa -1 �, m c �au u Z sq n 1 Z c Z Z c i_ W 0 c2 F- r4 0O I - J 0 U J g i '� z Et z - ixz � 1 t ;� N 0 a g = wwZ5 w z o JW < jJW W W Z ot, a23vJ W W rz IW . 0000 r 0 0 o = O. O. u. 0 z w lij II re CtZ 0 z U N 1 F < n W W <C7 N Z rn 0 0 -� W a° CO) Z ZOZg.Jz W Y w to o a q Ov W la W W 0M �� H 0 0 0 re w re TS V V a 0 O ut. u.. U.3U. co 0 c1 v 5z < 0 a=. 000000 C.) ❑ ❑ 0 E 04 11R4 CITY OF PRIOR LAKE Date Rec'd r~ HEATING/AIR CONDITIONING/FIREPLACE PERMIT Z_ , /S . u ` t:t 1.ring Lcant PERMIT NO /Yellow A (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1556k0 SKS/ bu 4V6, AX- ) Pc- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name} i✓ t>4�Pi� �JZ�L�9"� (Phone) , (Address) 155% s5 t.-/ivA LAW ikt0 --it - Al i "--5.-72--- APPLICANT ����, , 7—j7 L% (Name) /WI " �- (Phone) (Address) l6-C 2f fumy t r©l) ,40 _ A .SAI .0"1,„„,. 7 (Contact Person) ` ` _ L- s e (Phone`k'! r ? '.a17&2.., APPLICANT SIG s '+ Amp- •,� ��' DATE il T,t. •APPLIC , ' - - ' - - - I 1 4 ' - - a: : f W ❑NEW CONSTRUCTION PtEPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL (',,Al -. FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner []Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach DGravity DHot Water into Required Side Yard Setbacks. Mechanical DRadiation Fireplaces with Box Additions or DAir Conditioning ❑Special Devices Cantilevers to the Outside of Buildings D 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 $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ I ' This Application Becomes Your Building Permit When Approved Paid AbilliFY N•. IF'if Date p iii I Building Official Date 7 6--- ✓ i 24 hour notice for all inspections(952)447-9850 / i