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HomeMy WebLinkAboutMechanical Permit 15. 0905 = 112 3 ■ 2ce 1Lu§ � « 11111) l 0 b « k oAtz, ■a2 > OOOOOO . U w - k � 2 2 J / = YXk ■ o ■ ) w o L ' x 2- kk0 < © k § k ■ �■ �§I J U kkf-§kk L IA k a ■ »■ a ■ J & ® § OOOOO \1 ir W W 2 8 2 z K z LU \ a I • �le k z �� & � � � o 2 . , o 2 \ OZ • o z ° • .� 2 2k 2 22k2� ft ft W • kk ' ƒ ' �� § z o§e2�w a ' U) ° 0 6 4 $ kk k $ z ///O // 0 0 0 \ k � 0 k O O z Ov PRIC4 l� ,j- ' ��" �t„xHEAT 6/ CITY OF PRIOR����.i� " ' x .- � , BEATING/AIR CONDITIONING/FI O LA '�� <' - k ce _ al•O'NESOTP l V J � v/1'�' . E��'I%1�1V1 Ar i(eDate Recd (Please IQ 1�yI 172_, 7 type or print and signLq' 16 1.Pink File � �y / 4---- u ADDRESS at bottom) 2.Green Ci '�� (� 1 1 3.Yellow Applicant PERMIT NO, Z-15`� W 1 ,C;t eA p PPlicant `5, �0� kiliQ LEGAL DESCRIPTION ZONING(office use) LOTRO use only) Pao �U BLOCK ADDITION (Name�ownR� 4 ,J �i e 4e ��JpID (Address) 2-15 0 ! , I\• t 1 �i� (Phone) Ce-(Z- 62 77�t,� W V APPLICANT (Name) _1 ,al- (Address) � U \J t S l l (Contact Person) a 71 a (Phone) '71 _ X77 APPLICANT SIGNATURE .a.1�. ( ne) Pho DATE APPLICANT PLEASE COMPLETE ONE CONSTRUCTION BELO�r FURNACE MAKE AND MODEL �� FLUE SIZE (k 1"�PLACEMENT TYPE RETURN OPENINGS �` LTERATIONS OF SYSTEM FUEL 0 Warm Plants HEATING O INPUT cavity ❑Stearn R POWER PLANT OUTPUT echanl Air 0Hot PLEASE NOTE: • ���Air Conditioning Water Units and Fire Air Conditioner ❑Radiation places Cannot Encroach FIREPLACE Special Devices into Required Side E Fireplaces Yard Setbacks, MAKE ANDOther Devices with Box Additions or MODEL Cantilevers io the Outside of Buildings Industrial, Co Require a Building per•rnit. Commercial& FEE SCHEDULE Multi Family Residential,Heating&A/C 1%of Residential (New $49.50 hifli Sum Residential Heating Only Construction , Gas Fire (New Construction) ) $149,50 place �n$6�.i 0 Residential $49.50 Cost$ L�"'�� U Residential,A AdditionsC &Alterations HEATING Building Perinit# Only_ $49.50 STATE SURCHARGE $49.50 $ This Application PENT FEE $ 5.00 PPlication Becomes Your Building Permit • ra Approved Paid ficial Date : •'i r/r r / 24 hour nonce for all inspections tions (952 I Dakota Street l prirLake,Minnesota 55372