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HomeMy WebLinkAboutMechanical Permit 15. 0760 . ■ o _1k - P g ■ � ■ � �� § Rz a fa 25552 zLI k_ & ww25i)T, > LU CI z © • 0000 § r in > 2 0 / , , U z w § aa � � a -J z aa < m Z o IQ 2 E ■ §XIS 1 © k o IQ z © � & 2 _ 22zz z 0 U S 0 a § 7w � w � § © a 0 ` � uw § mow / CO $ a �§■ a � ooz e m 000000 § w & Z 7 u u z Ili CC CC cL u. ILI 0 LIJ i % o W z ■ x 0 0 « « o W W z 0 z o zk 0� rz 0 " k k 1741 ag d 2 « 2� ■ 2 i q � � IQ z - � z W ■ UQ ( �� la i \��2zk 0 0 0 § k q & 0 0 U. 2U. ■ ■ ■ o o a a U § Uz a 0 a 000000 0 O a ƒ � o� pRlop CITY OF PRIOR LAKE C / Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT �I,yNEgoSP t11 1.Pink File PERMIT NO. 7 4 A— ' 2.Green City �D (Please type or print and sign at bottom) 3.Yellow Applicant I ADDRESS , 5q i0 (ilovCivcie .S ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK / ADDITION 47,i./ei) /4606155 /1A) PID 02r— !On J ��p ' OWNER (Name) nntc tel Aevrie-tii (Phone) qn IO a- (Address) J'{l O (1 I O' vl Ccc SE APPLICAN)c echamto l (Name) Phone C62 l 5 (Address) 2026 Co(l L f rl� l v O (Phone) �5 pi (Contact Person)__ ai e53S I (Phone) �� APPLICANT SIGNATURE 111.4 uJ''I I WIA49 / DATE III APPLICANT PLEASE COMPLETE BELOW El NEW CONSTRUCTION I`fEPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL lZt,uAz (A- 133ct FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE:Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach El Gravity ❑Hot Water into Required Side Yard Setbacks. ❑ echanical ❑Radiation IMAir Conditioning ❑Special Devices Fireplaces with Box Additions or Cantilevers to the Outside of Buildings El 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 Residential,Heating&A/C $49.50 minimum (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 $ 0.50 STATE SURCHARGE $ _p TOTAL PERMIT FEE $�' This Application Becomes Your Building Permit When Approved 'a•I P ',, �a =ems - J / • Receipt No. Building Official Date Date . IV I S, By 24 hour notice for all ins 4646 Dakota Street S.E.,Prior Lake,(M n)Minnesota 855372