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Mechanical Permit 15. 0953
1u) k j 2 � ■ •••?'ww : 14 1 2 �§� q : � _ � o & ww � : > 1 2 % ' z ~ ( 00000 , . E ■ V- 0 2 6 ■ w 2 _ - z }}I E 0 k fa k g / O O < z J 04 z 0 z ■ z _ zzz ■ ID w % S 0 a mfw � � I 2 0 a- t) k A.23Ko. E / . 22 / 0 000000 0 0 0 ■ Z E E 2 X il il) 0 : 0■ 5/ z D o g 8 / © -z § 0 LU B § 0 ■ g eti0� a 2 0._ § 2 zo ■ � 2 W < o o o© Oe Z k § iig � � a NC W me % § O § 2 v 0 k B 2� L2�k u u u ■ « 0 a. 000000 0 0 O / o. FRI0 CITY OF PRIOR LAKE Date Rec'd ti HEATING/AIR CONDITIONING/FIREPLACE PERMIT u �, jNNESo�P 1.Pink File PERMIT NO. f ::3 Yliopp /(Please type or print and sign at bottom) 3.Yellow Applicant I ADDRESS I ��,j,� Orn ZONING(office use) �a i/ .SE LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER ' / (Name) V ame S 1niik (Phone) 2 (Address) I W4-3- O -. , t ` E APPLICANT / ame) ns- ivi ��ool cal (Phone)G1✓G L116 i' (Address) 2 ( i/) v � (Contact Person) 1116 f (Phone) c j2 c-35F5 iii APPLICANT SIGNATURE 0,1114 /1 I DATE S' 11- 1 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION P4 PLAC 1� ❑ALE TIONS ,A�,,//�b,,�� FURNACE MAKE AND MODEL Lt ' j f•� P.'"' , ' UEL /`t 11 FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam ❑Gravity Units and Fireplaces Cannot Encroach ❑► avity cal OHot Water into Required Side Yard Setbacks. • it ConditioninRadiation Fireplaces with Box Additions or Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑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 , Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ ,r, 0 STATE SURCHARGE $ .;; 1 TOTAL PERMIT FEE $ Za t.SO :•, This Application Becomes Your Building Permit When Approved Paid (-0 S"},) Receipt o24 3 r Building Official Date Date O G• a,(- `r. By , 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372