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HomeMy WebLinkAboutMechanical Permit 15. 0868 0 tz 0 000000 T, o 5E n$ X1X1k � 8 0/ k 2Egkkzm z° % k�m gk � pk 3kk� 1,1 trl cz co xLi, % oz ` m a 2 13 % z iii xi 0 0 41 m m m . OOoo0O 0 -4 z § § - ® � � * ■ � 2 f OC -40C 13 CD § 74 LO m c-) ` , o q 2XI rn \ ZZXX 0 g o 0 ■ m / o = CO i � 2§ ■ z - r z m Icc z r / 0 r � � p § —I 73m m . ),4 z ■ 0 0 0 00 , § -r o �� n2 r 6 , 0 k . t /��k® \ 2 m zCCc �t21 0 005 § \ xi •0 m ot r Riot CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT ;ate '.Pink File PERMIT NO. Oa:2.Yellow City —{.Y 3.Yellow Applicant i� ©� (Please type or print and sign at bottom) ADDRESS ZONING(office use) y -;y g Q ,,,I .•\Ac“ 1 & . S cc, R Z LEGALDESCRIPTION(office use nly) . , L in f kOCK . 6iDDToQF , el6 °5 s PID Q3a T D3 -0 (Nairne)R N `11'1 L v cv^ 4 (Phone) 1 S o� 1 1-- 1 `14 J EAPPL(Address) (-) 34 f r1 kfr WC>0 4 1 • SE-- APPLICANT ICANT (Name) ciN,A.., c1/4,11 ^ � "'_ �� (Ph�ne) 1�' " / a /A 44 (Address) , ` 7® \`►e� C 0 Pte. f\'V \ Q `� \ ��'' �t1`6 r\' _s-_c -7D, (Address) (City) (Zipt Code) (Contact Person) \ 1 CJ \.:\V 1 (Phone) et . '�''-‘•AkCi-R. t 41 APPLICANT SIGNAT N. DATE — .1 •7_ APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION ,REPLACEMENTT ❑ALTERATIONS FURNACE MAKE AND MODEL (Sr 7 c4 v* s a`IY\ y'J (DC)V 1—1 FUEL 4/4 RETURN OPENINGS INPUT OUTPUTS '� FLUE SIZE U O �O, � .").-7 � TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner :Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ['Vent.System 0 Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL 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 $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ \A r G STATE SURCHARGE $ f30 TOTAL PERMIT FEE $ / (Office Use Only) This Application Becomes Your Building Permit When Approved EliMatill Receipt NoZ 3 gill J • � iiingil By All Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 4110