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Mechanical Permit 15. 0556
2 c n 000000 0 > E ci a o kkm 0 $zo) 08 z m z �� I:7 r m m - � r 3Z-I § 0 n9 § tt.t-I -i > Z \ 0ao o Jxp ? ( 0fl -1 m o ®- z ■ CO . q § 0 2 q0 0 $� % 7 z2 II mm r o 3 m k k 13 73 xim 0 | 000000 ! J -I 2 § § ■ � ■ * ■ � $ ■ m � > mr 2 % f m x m x. I, o 0 E m I. 'n - X73M § m 0 0 0 0 0 0 ' �' > 0Q0 0 _3 Z m 2 0 0 83, r- TIO O2 m = P c o p , r§§ o m ■ fa z m k0 / xi2 m O OQO q E j 1:1 11 kmm ) -W.R. > 0cr �� �m 0 0 m » mm271 55 TIxi - � z 1 m ® r 0 0 p< n 000000 . 0 » En n 0 8 n `0 2 § 2■V08 0 m k mo § 2 k k k 0 �/ fk§ o 0 �m § § 2 A 5 7.1 P z- 2 t d Cn 0 Z 2 0 q \ z \ mm § 0 ^1 - § IP ' �. 4. z ` ; 72 73 00 000000 0 § 2 m � EWt � § 0 2 § ° i ■ § mx ■ m n Cl) § . ■ _ ■ m 0 n \ A i § > 0000 E Z m ■ 0 6 0 . , r -n \\ ■ q c § ■ r- § b / k 0 _ § 7J \ m 0 § OOQ , Xa22 § § ' § R. > @ PTT - © � F:7\ _PF. F tg 0› mm4 _ § m § E m 4r 0 pRro CITY OF PRIOR LAKE PERMIT °� � Date. Recd t HEATING/AIR CONDITIONING/FIREPLACE ,r Zci 1g— x U ny i.Pink File PERMIT NO./ O`—�6 2.Green City�NNESo�P 3.Yellow Applicant (Please type or print and sign at bottom) O/NTNG(office use) ADDRESS Vti t dh S e l S10 LEGAL DESCRIITylp (office use only) LOT f PID ~aR�C�%S1S LOW BLO ADDITION ✓�25 �v,:.� OWNER (Phone) y" o (Name) L� � `Si Address es UN^N d\-. S APPLICANT 1 ^ r\ (Phone) qc --- -kh k?, .. .•A 1 (Name) � � r-, ..- Address \ 1. 0 ,\ t , J (Address) (Phone) � ).- a' (Contact Person) `'N'1� APPLICANT SIGNATU' \`�- DATE=��"\� — APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION ❑REPLACEMENT 1'4,A LTERATIONS FUEL FURNACE MAKE AND MODEL INPUT OUTPUT FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM HEATING OR POWER PLANT PLEB and PFLEASE NOTE: Ai Cannot Ctioner Encroach ❑Warm Air Plants 0 Steam ❑Hot Water into Required Side Yard Setbacks. 0 Mechanical ❑Radiation P 0Gravity Fireplaces with Box Additions or ❑Air Conditioning P 0 Special Devices Cantilevers to the Outside of Buildings 1 ❑Vent. System 'la Other Devices (t.s i Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE $49.50 Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 minimum Residential,Additions&Alterations $49.50 Residential,Heating&A/C(New Construction) $149.50 Residential,AC Only $49.50 Residential,Heating Only(New Construction)os $ $64.50 Building Permit# HEATING PERMIT FEE $ -\ �` STATE SURCHARGE $-------77---0 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved 3,d ! Receipt No. I / h s. - , By � Building Official Date r , 24 hour notice for all inspections(952)447-9850 - 4110 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372