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Mechanical Permit 15. 0968
2 � � u mit § 2 §vv � 0 3 1552 0 col 0aaa2 ZE ■�� � a 2 e SS ■ � \ 2 © OCOOO o ou. m 0 0---; 2 t Z 0 0 w z z z -4 f * a 2 oo0< 0 h w \ « w C 0- "a w z B 2 - xx2 ■ ■ 0 I- S a §$w� § � ' 22 � ul u. a. U) a§ k k 0 % OCOCOO aa \ . q 0 < 0 u % § U 2 0 v 2 a « ■ I? z .4 P- 2 S ■ z 0 o © w w Fig z«_ 44 z2 u. 0 6 ■\■ -■ w i % % 0 « D.0 § � a ■2 « w 00 E P- u. 2 b 2 §0*2■ � 0 ' a o $ o u.u. u. - u. © 0 c O 5 k2 < 0 1000000 0 1lRIo CITY OF PRIOR LAKE C. Date Rec'd i o HEATING/AIR CONDITIONING/FIREPLACE PERMIT Fe. ZD.fc- U rri 1.Pins{ File PERMIT NO. NNEs011" 2.Green City /5% 5 A3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 153\ 10 OOCsE LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) ►" t arli ZLACcard (Phone) U/t l-26 1-31 4 i0 (Address) 1631 15 1 i d e Cir <S E APPLICA 'I / � (Name) VI G t 5 H � (.),(i (Phone)667/ L15-0173 (Address) ZtiOGI (A) Ow q 1 (Contact Person) Town I ClL r3C n ' (Phone) 6211- Zfj--�5I q�j APPLICANT SIGNATURE I • 0 / - DATE 8/10) 1,5 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION k71 REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL laU V Ito ,q 5 PA b7 b 13 I-7 mSA FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT 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. ❑�p(Mechanical 0 Radiation Fireplaces with Box Additions or J�IAir Conditioning ?UUP 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 0 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 $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 $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid S-6/573 Recei t No. Z f' Building Official Date Date g ZO, t S— By • 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372