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HomeMy WebLinkAboutMechanical Permit 14. 1379 U I 0 (c:11571\ n n \ 0o § O �-n2222 k 0 > K§ k r• n k k X 3 -rcE"k z in Z 0) -© % t qq \ Z % -° -I §22 _■ 9 j k cn © z ° . § 0 \ o / 2 2fik / qr o 3 x 2 0 11 'CP p m w m m 1 Tj4000000 ON J § § a 5 6Cr ■ t6C 7 2 K ? m , 1222rnXM -0 n ■ , a 0 � _ ■ ■ ■ § m 0 0 kl ila hi 0 / 0 rnOO xi k . �t 0 NI 2 R m KCc Z r 0 o , � � � § I / 0 \4 i r,73° ''i cn < . „ OO000 f� B >22k§ - § ■ mm ■ o � m < . • E -0 -0 � 0 . > z '4 1 4 ' [ \ s -na -ip -4t 0 § 01-4r Q fRlo CITY OF PRIOR LAKE1 Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT z u � ya �r P 1.Pink File PERMIT NO. INNEso° 2.Green City 1 L�,L /3 7 3.Yellow Applicant (Please typt or print and sign at bottom) ADDRESS ZONING(office use) 1L DCD2 \(1\a JK ' E LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) bevI,�y nor (Phone)a52:u-11-`-t IaP (Address)\LKJ c\131'G%Cw APPLICANT 1 (Name) U�Y�Y15\°i\tE ASTf_ln4 A. (Phone) O54/odos-- (Address)_3UI5\ Ny fila,uq 51-r, r ySU (Contact Person) b-f f h r I L. (Phone) APPLICANT SIGNATURE �,a;t(, & , aW/19' DATE 0- APPLICANT APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODELVjYWRf vu3 )7O FUEL (16-h4-CA, FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ■Gravity ❑Hot Water into Required Side Yard Setbacks. echanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 0 Other� Devices /� /q Require a Building Permit. ' _ • '.�- .�.': ." e % L -{2-t n�..Qy L I1 vv?a(L '` 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 Costa _ ) Building Permit# HEATING PERMIT FEE $ L q.a STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $E`y-tO Lj .) This Application Becomes Your Building Permit When ApprovedPaid 55� Re eipt No. Z Z Date tc 4 By Building Official Date L� ,y 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372