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HomeMy WebLinkAboutMechanical Permit 15. 0476 us 2 1 § re U. Uli E �41 00 gx3 5 5U■ v«> q ■ 0k © Fi z T 0. CL 0U00 ;z k❑ cooO ' • 13 Cin 2 2 u IXii IX = �,L U. § o a. n. � w k z niza 0 ■ .OQE � ► o 0 0 . i % I- B 2 - 2§ z $ 0 k % 0 . 0 a in 1.1. ► iu 0. A k ® : 04 jUi � § = � 2 2 Z ° a ■ ■ ■ a ■ w W § I k 000000 1 § 2 § W % O. a LL j e f 0 < 0 l § .- z o q q § § 2 0 § §2 0 ID q § LU 2 / �re k Cl) re Z I"'Z 2 § re § -I % �� iii §off § $ ILL s 000 Cl) o o U.UI _ I' ■ oU U g uz a 0 a 000000 U . 0 £ 01 PRro4, CITY OF PRIOR LAKE Date Rec'd M HEATING/AIR CONDITIONING/FIREPLACE PERMIT 4I2 r ) U tri TP 1.Pink File PERMIT NO. INNESo 2.Green City F 5'al/1 '/1j (Please type or print and sign at bottom) 3.Yellow Applicant ✓ 7 ADDRESS - ZONING (office use) y LEGAL DESCRIPTION(office use only) LOT 12.--4-- LOCK ADDITION eA OV'& /4.i PID,25. ,9, 1_0 OWNER \T-�Y " t l CO(Name) ''N� (/" 1 1 1'J (Phone) `O 1 -�a 4�) gi- 1‘61•-•C t (Address) S '\ L� ,�y \ \ (L, a / APPLICANT 'e- ' 1 r` �lL (Phone) `���. \��• g ] 3,\I (Address) \ V� °%0 J A �U O'v1, t}�L., Q C` , 0 s, \--GO� 4 v�1sr',"1- ,(Contact Person) c.\‘-‘\ 1� l,\"\kAl (Phone) 1 a"\..4,1- 61 all APPLICANT SIGNATURE DATE — i > APPLICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION2g'...1' PLACEMENT TERATION�` FURNACE MAKE AND MODEL`� h- �1�% `SAO� \ FUEL ` V 6\7\--'FLUE SIZE .Z,9 RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation bFireplaces with Box Additions o�,r gjAir Conditioning 1.,� 0 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 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 $ . 0 ji TOTAL PERMIT FEE $ IP liri This Application Becomes Your Building Permit When Approved ,rt id 40 Receipt No. 2 7 Date 11111 By , Building Official Date 24 hour notice for all inspections(952 447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372