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HomeMy WebLinkAboutMechanical Permit 15. 0292 J IU Z Q P 12' •, :ji Fe' IT. c c ,..—. 0 = lith z W Q < . iut) 1% li0' _ 1 -4000000 > co De o `n vLU O a O N C O a a CO UJ Z Sol Z Ypx ? S 0 04 z O F W S V 0 W Z — xxzi � - w CO CO P. 0 a m1Wwm1 a z � Wj � W W W I )1. CQ riN a23tna W W W �; x ii a a �. 0 '� 0 z 0 au. x 0 I a a Y'a 01 re Z 0 z wci) ,' g Q r. W-zco 4 N a° ° =N z Z05 yZ W Y LU .1 a OW 11.1 W Z ~� � X�NF- O Q a si G O uO. uu.. UU. zriv� 0 3 V V V az < O a 000000 C) ❑ 0 c d 1 r Rio OF ' : IOR LAKE Date Rec'd 0,44-".140' a ,,,. ,t Itc.„� HEATI , IR CONDITIO . G/FIREPLACE PERMIT v• fr>r • • tANESDcPs 4, 0 2.Green Pink FileCit• PERMIT NO. /5- 3. Yellow Applicant / r / �� (Please type or print and sign at bottom) ADDR � ZONING(office use) 1t13 ( &tn � � LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID i OWNER (Name) r C /j 61 (P e .,___:/ocof . (Address) a a),P.— APPLICANT (Name) (Phone) Standardtiedting&Air Conditioning _ (Address) 130 Plymouth Avenue North Yfnn (!, y s) — l2-g24 (City) (Zip Code) (Contact Person) _ iii41 (Phone) • �''M APPLICANT SIGNATURE _ DATE APPLICAN 4 LEA E COMPLETE BELOW ❑NEW CONST CTION REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL (/1'yy �t FUEL ( CO FLUE SIZE RETURN Ol ITIGS INPUT at v 0 i e`. TPUT `)_ TYPE OF SYSTEM HEATING OR POWER PLANT — PLEASE NOTE: Air Conditioner arm Air Plants ❑Steam Units and Fireplaces Cannot Encroach Gravity ❑Hot Water CI Mechanical ❑Radiation into Required Side Yard Setbacks. M Air Conditioning ❑Special Devices Fireplaces with Box Additions or • ent.System El Other Devices Cantilevers to the Outside of Buildings 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 $49.50 Estimated Cost$ e1 311 Building Permit # The Minnesota Statutes*32611.148 HEATING PERMIT FEE $ G q> s c "St R(I IARGE"has been changed for one l Year effective STATE SURCHARGE $ 5.&t) TU' July I,2010,anti(..Ilene 30,2011. TOTAL PERMIT FEE $ Tftr minimumminimum surcharge fora"fixed fee"permit (Office Use Only) �`�• 71 is.j5,be inning Jul 1.2111(1 This Application Becomes Your Building Permit When Approved Paid,`S� Recei No . 9`t!.0 Date 4TL7� is..-� BBuildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 • 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372