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HomeMy WebLinkAboutMechanical Permit 15. 0919 ■ •2 / j ELEt �z§§ a / 25552 § g. g. ( _ \ o w wu, o �. > q Uu. u. � | OOODOO m 7 41 i. \ 2 o w o 2 . / §§ � ■ z U. 4 % aaa LU S $ \k LLI M 15 § 44 o 0 I §ceJJa)� zo U Q D0I- $§ 0 ' k 4 a§&Kai / & OOOOO �%• �q \ � § 2 re 0 0 X t 2 i _ $ au w .. w ƒ 0 a � � o k 7 _§ z § k © z f LEoz .9 <�2 LU Z m k �_` k z < z ® Z U. w ■ �2s �� ■ W ' < ■ ■ 1 ■ U Q ' kk k $ c /�0 �§ 02UJ o / 0 / ■ u u a 0O / ti� CITY OF PRIOR LAKE DateryReci 'd i.7°141111O4P HEATING/AIR CONDITIONING/FIREPLACE PERMIT kNES° Pink File PERMIT NO. 3. Yellow /�' 2. YeCity Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) \ 503 5\etC�c oCa� �d 6- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ((NaWNER���� �i 11� e, l� ( A a h ext (Phone) (DI 2—q I 0-3I 30 (Address) 1 :>0 3 W 13'C1 civ V Q K l 4 E `) - APPLICANT ' 1 y, /� n G ? �( /l,r-, (Name) Awl l cis �'1 �"1 I LN (Phone) "1 J J 1 S -V D3 2 (Address) ZP 00 VV H ) L 13Ul \Al 56331 (A ) (City) (Zip Code) (Contact Person) I()vvonl'O. t.k,rLS Q fl (Phone) & 17- Z55 - 51013 3 APPLICANT SIGNATURE l� _ / DATE )3/ I APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION ]REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL gZU CA 3(Q A 7 — I(o V FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water ❑Mechanical N P 0 Radiation into Required Side Yard Setbacks. CZAir Conditioning 1`V 0 Special Devices Fireplaces with Box Additions or ❑Vent.System 1301)1` 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 $ STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid _6?)u6-7) Receipt No. � � Date Building Official Date S 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372