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HomeMy WebLinkAboutMechanical Permit 15. 1133 III2 1 § ■ 2 � � � u § �P � iWW < 0 m ril 2CLO. O. z > k � — — 02UJ �k z 0 < ? , ¥ . wu � - c E W u)OOO § 2 § 1 reci � o Uaa � o z 6 = M < c 0 § o cd t: 22 § § ECS 0 0 0 - I Z IX Z - i = § z ' 11J CA4 % S 0 a 3fwre W35 CO k 04 � � � § �� o o § Li o On as ■ ■ a ■ w w § k 6- 0 0 0 0 0 0 0 § 8 0 U % _ 0 u. I- LU 0 < k U § § § § § so % % ■ § z u ■ a § a Q z © a I s- 4 % � r- CO z 202 § z W © w w -1 w rt re z 0 § /\ 8 re k U- LU_ U-k s re S S / 5z < 0 a. 000000 U O o P 3J a4-~ It I0�f' CITY OF PRIOR LAKE Date Rec'd (.-;, \ t'., HEATING/AIR CONDITIONING/FIREPLACE PERMIT \4,-, y ,„so 2. Pink File PERMIT NO. /5' /733 2. Green City ! / 3. Yellow Applicant (Please type or print and sign at bottom)vra, Ki I �/ iADDRESS r � `n i vv wow 1 ZONING(office use) I 3 R G--_ LEGAL DESCRIPTION(office use only) Iv pl— -�/ ( 513 C /3 H (� ) LOT BLOCK ADDITION �- J` r PID al-- l,3(p—OQa— OWNER 1 `'1 I b) I A ' 46j ' 0 e 5 Name -.Fil • ...-• (Phone) (Address) bin --ravvidliAJ-lia 1 I -E , f i or LLk AppucenOl 66 ( a11t %,a ._�q �' q�(Name) (Phone) (Address) ( 6 O _ _ ti © f1 J Dr- vOyaV � J ' id . th s (Contact Person) 0 U O . IV] Phone)(436 q or/911010 APPLICANT SIGNATURO --lp CA DATE —(1 — 1 D AP LICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ❑REPLACEMENT ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ['Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation DAir Conditioning 0 Special Devices Fireplaces with Box Additions or ['Vent.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKE AND MODEL 4ei —' ( i o Ta r/a'I 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 $ 1-#7,F/o STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ 0 (Office Use Only) This Application Becomes Your Building Permit When Approved PaidyReceipt No. `�U 4 . , Building Official Date Date c 2_3 • ( c By 3--- 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372