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HomeMy WebLinkAboutMechanical Permit 15. 1158 8 000000 0 $§ O O ® 02 ; 000 g 1 2 m § g 0 xi x 2 r- rEZrj> -0Z ` �� N.),_ r Z '0 �o§ Q P 2- R t 2 \ § cn § 2 § 2 xi S. B ° = a z m m 7 -n n ƒ 0 7 0 r§ = 1 § oX XI 000000 Z , 0 � ■ -0 ■ * ■ " 4i x ■ m m _ 0E §� CIc 2 -0 � 03 ■ 273 - m 0 © K ? ■ � xx z z § k m G q r -n §§ % § 2 , \ 0 / } / �� P 0 % z # m 0 , 0 \ a.X m K 2 0 0Cid 000 v 11 m 22z0c PI / z ■mm ■ o 1 • > z , E� It � z < m � � o — \ k t-n2�r • 2 § ri §i z in Oi pRIQp CITY OF PRIOR LAKE Date Rec'd ili HEATING/AIR CONDITIONING/FIREPLACE PERMIT t"': ._ �.zs l s ikNE50` I. Pink File PERMIT NO. /5 �/5F 2. Green City 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) Arlo wi ► lcw Ved kTrc ! . / LEGAL DESCRIPTION(office use only) t LOT 1-/BLOCK ADDITION �� G/s 2-"I)/ ,C� �� PID 2S- /Oq -ad�C, OWame) �I NER 1v101/1 Ylikof J — (N (Phone) O' \6L4 (Address) ?Xo1O (OIA) 1bL'OCII,1 AP(Nae)51100 (t' 1F 'C{f„ 1 J �"/d1 t4q I��Name ®oC c) . a • (Phone) (Address) f�/ Or.• i MI 4 M (Ad ess Zip Code) (Contact Person) PrnI - - , 1(4 ,� I� (Phone) U �v' APPLICANT SIGNATURE MEI& ►, �raki,. til ' DATE U1 i APP C, T PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION Xf REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. EJ Mechanical 0 Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.System ❑Other Devices Cantilevers to the Outside of Buildings KO21/ c h IS�GI gig 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 $ 1-qq Gf O STATE SURCHARGE 1.00 TOTAL PERMIT FEE $ -90 (Office Use Only) This Application Becomes Your Building Permit When Approved Paicl b Receipt No:`� (� �,ff (J� Date_ S, (� 4:), Building Official Date By 5k 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372