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Mechanical Permit 15. 0590
ƒ 0 0 000000 2 0 > 2n § n g 90o 0 _■1121 0 0 m o �J % " w Mi2Eck mz m " m© % a m K \ ■ ?z 0 C 5: 4 p 2 m o Q . o 7 k 5, 91 Z § cr, 6 k $ �0 / j .. z 61 0 7 % 2 r z ■ m m r o : % z k 0 0 C. ,3 0 0 '00000 k -4 § 0 § 1' m2 ■$mr 2 k ƒ \0 . \Ca §23¢k m 0 ■ mn . ■ zzx z ■ z _� 2 / / Z � � �§� k z / k o � v § P ar I gi 0 gi < | @ E m 000000 � � n2 o / < CnnI§M© . / M 0 mi § m > mPz � _� �_ �E -I � � z In � � Q g 0 0 0 000000 0 > EO n 0 0 0 0 0 . 2 co -n 0 8 8 z m k m o ). R kk � s mitt ■ § § T 73 00 ■ m ■ ■ i 22q - §.., P �kco \ 70, § n 9z Q ■§ . q �k m m r ° % mii o 73 2 m - xo o ❑ OODOO / m m m ‘ a � � ■ ■ r E -i z o o mE Linc 2 ■ ■ Amis -0 n ■ ? ' ■ ■ ■ mo % 2 m i q . . > 090 0 q 0 m q q o 2 .� i-22 m z / z # m _� § P m / lb 0 ■ 0 ■ ■ X m■ O ❑ O ❑ O 73 0 R4 \ 0 1 ,1 � fP2F �m k PAkk � 0 .. I pFrq / - 1 r , t � z ■ 0 :) PRI04. CITY OF PRIOR LAKE .. Date Rec'd it, HEATING/AIR CONDITIONING/FIREPLACE PERMIT ‘. Z M— ill �y `aNNEsol¢ 1.Pink Fite PERMIT NO. 2.Green City `J .5-q6(Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS ZONING(office use) f53(3 0I LAS Pay LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER W N R W#f /OJ 1/Ue (Phone) 6/2--(070.--15-g-0? (Address) /5-3 (3 („40(kiS /6V-141/ APPLICANT (lslame) er545 (,� e 6(2— l 5-37 (Address) /50Z/ OCG ' .1 __!, d. (Contact Person) A/t`r - -0 0-‘11''00110P � -.1.mm-, --..dA-A 6 g.----5- APPLICANT SIG 1 • ;a =-•� /�.i►�"�-- -%rte �� .; _ • PPL • ' _ , SE COMPLET BELOW ❑NEW CONSTRUCTION 42-C EPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL ( L— 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 ❑Gravity ter into Required Side Yard Setbacks. ❑Mecha ical ❑Radiatot ion q C3 Air haical ConditioningFireplaces with Box Additions or ❑Special Devices Cantilevers to the Outside of Buildings El Vent. System ❑Other Devices g FIREPLACE MAKE AND MODEL Require a Building Permit. 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 $ This Application Becomes Your Building Permit When Approved Paid 5-145-v R c ipt No./.5-6,5— Buildin Official Date Building Date Z 24 hour notice for all inspections (952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372