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HomeMy WebLinkAboutMechanical Permit 15. 0415 = 00 . 0 000000 -0 0 > § n _ O ■ � - � � m o & o c4q 2 0 © 0 s z § 0o z m ■ mo kCT x � m C � r .- § § d 0 � � § tZ \ -I § cn k - -1 P Z- ■ » ■ © z z § r q -4 § S. - o n Z A x ! c : 6 > 0 72 v F. § , X o X 7 06 % rn x R R 000000 � 41 X m m m m � � tm � , * = 0 zZ § mz_ E m p i ' cn / §kk � k B \ o n a ■ z r 0 co A r -0 -a P m / m § . �' 0 o.)1 4 o Re / 0 xi § mmEQ - � ' m / � 5 5 50 41 rti § » mm %M _ m m ■ r ■ CA $ - z m -1r o 5 0 0 n 000000 "a 0 > 2 2 o © ■ 0 ri f o v2 8 Z § co PO 73 o\ 0 r A A k k m ■ �E• kz m 73 CI A 0 �-0 01 r 0 0 ■ Z cn -4§ > Q 0 �■ tvi tO k k » § § o 73 q ) § ., S k § \ . ) RI � % 0 r r> 7 z 3 N 73§ 1 11 13 / .• ■, m 2 0 o 000000 m m ! PJI § § § �j % m O§ > 00 E m r -n § o ■ q M c en z : m / -0 -0 § 2 § / x k / P, t - § 0VI ■ 2 . DO0o0 01 c)- 0 q z B ' §11 � no§ ` % a o c � � $® " > - m �c � o \ > � � % / m -. ■ r 2 w � z - -4r o o, pRJ0 CITY OF PRIOR LAKE Date Reed HEATING/AIR CONDITIONING/FIREPLACE PERMIT6,41-7, /5 U tri 1P 1.Pink File PERMIT NO / 1VNESo 2.Green City '/b , 4 /5 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 402 b5 50/t/0/11 C is2GCr=:-. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER ,p ,, ll (Name) 7v 14 /44 tet f N (Phone) (Address) APPLICAN (Name) ?v/V 4,J (Phone) 6/64 s9 7 7O G 7 (Address) / ?2 625 UN1,.f / C!d?.�c./ (Contact Person) A i /4-/A) (Phone) ' /2 4(.06:3 APPLICANT SIGNATURE ." - ,iii DATE.4141 y/74.--c___ APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 0 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE 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 0 Gravity 0 Hot Water into Required Side Yard Setbacks. El Mechanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings U - t. System 0 Other Devices Require a Building Permit. '1 PLAC AKE 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 $49.50 Cost$ Buildin//Permit# HEATING PERMIT FEE $ 7 STATE SURCHARGE $ 5. 0 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid rigNo. r, Building Official Date Date /L, / ✓ 24 hour notice for all inspections(952)447-9850 ' 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372