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HomeMy WebLinkAboutMechanical Permit 15. 0369 n 000000 m 0 > 20 n n n 00K O ■ � s � � � § § § ■q k r n k Ill x x 3 Zr � E�k § cn -im % � -I -I tn> 2 13 - Z- ��� 0oI 10 0 2 /k o n o m -:1 � t o g > 0 m z r § m k c......., 0 0 Z 41 Q k k 000000 0 -1 k00 _ � mri>rr 7 "I g ? -0 X ami & , 2 C 2 � ■ ■ ■ x1 § m 0 C) '® ■ZIS - z ■ z 0 q -I o 0 � $§ § 7 § v r. � k� o §/ 2 » m 2 - mgi ❑ OO OO ` ' R. a ® @fin§ > 2 emmE0 43 k �\k� 0 q 1 » mmzm . � 7 � F. _ at z ■ � r o • C..,/ 04 PR/O. CITY OF PRIOR LAKE Date Rec'd gli HEATING/AIR CONDITIONING/FIREPLACE PERMIT ri f e e to 4J�A'NE501h I.Pink File PERMIT NO. 2.Green City /5_ 3 (Please type or print and sign at bottom) 3.1'e{low Applicant ADDRESS ZONING(office use) y 14...)10 J 1 ali PLOLEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER / t I d (Phone) Cola -93 6 -5'3-3©(Name) �'S okGz `l(Address) /1"/9/..-7 D;, APPLIC N i sg (Name) r I . It2�n t)Oes 4 ;' — 4 , ( lone (1!)/ '35g (Address) D • , .* ) �OQ (v 6, n S-1-1.0(0 (Contact Person) r),P (Phone) -35�- �0/ (n0(o APPLICANT SIGNATURE i / i r " DATE LI //0/90`5.- APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT ❑ALTERATIONS FURNACE-MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants PLEASE NOTE:Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity OHot Water ❑Mechanical ❑Radiation into Required Side Yard Setbacks. ❑Air Conditioning ❑Special Devices Fireplaces with Box Additions or ❑Aent. System — Cantilevers to the Outside of Buildings Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL 04. Oa FEE SCHEDULE Industrial,Commercial&Multi Family 1%of job cost Residential,Gas Fireplace $49.50 Residential,Heating&A/C $49.50 minimum Residential,HeatinOnly (New Construction) $149.50 Residential,Additions&Alterations $49.50 $64.50 Residential,AC Only $49.50 Cost$ Building Permit# IEATING PERMIT FEE $ zf Si) STATE SURCHARGE $� .00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid 1.5 q , Re ipt No.1 u S ) Building Official Date Date 4-,1„--(___, !5 B 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372