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Mechanical Permit 15. 0893
ƒ 0 0 n 000000 , 0 > � n n o g J o O ■■ � - � � � § 0-1 R g R k k 1 AMP P ri m 2 7 0 % t 2 .4 F z Kr-\Ekg o s � ; q es o 0 d m o ®5 ® 2■ % k 7 0 o • _ _0 § t o 0 0 z k » o n § z lc § 7 ' % 0 k k - N N m qmm 000000 mrrn ■ ■ r 7 3 ? . ' 2EAr2i g n ■ n ■ 4a \ / © , -_ - - z/ -r m z k 2 et, o co , r •I // - -I a Z ' m a r §$ Z I. m / x k x m - 2 0 q � � OOOQO � a § o � mn2 % ,, \ z k. ri > ' , � � � q . s22zg $ k\ �ka 'E k -4r Q Z°::„,i;i75 i IE ' 0FIiiCI`T'Y OF PRIORIAKHEATING/AIR CONDITIONING/FIREPLACE PE ' t AUG 3ytc �'tt lsy esr.Pink File PERMIT NO. 2.Green City _ (Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS I LIZ 0 iirn`_,__. V' ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWame)NER GrCI (Nl C iliP (Address - � ! (Phone) 2` ZQ� � fS 3(-/1 Zc 4,....__, a - .— APPLICANT (Name) Genz-Ryan (Phone) P59-767-1000I (Address) 2200 West Highway 13, Burnsville, 55337 (Contact Person) Autumn ,_ 952-767-1000 ai v 1 (P lone) APPLICANT SIGNATURE '4 �- �//L1l DATE 7/50 1 i s APPLICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION I �, PLACEMENT L ❑ALTERATIONS FURNACE-MAKE AND MODEL Len n )(C 1'7 02 J Z5( )FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT OUTPUT HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warns Air Plants QSteam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water Q` echanical [Radiation into Required Side Yard Setbacks. it Conditioning ❑Special Devices Fireplaces with Box Additions or ■Vent. System QOther Devices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL Require a Building Permit. Industrial,Commercial&Multi Famil FEE SCHEDULE Y I%of job cost Residential,Gas Fireplace $49.50 Residential,Heating&A/C(New Construction) $9. 0 minimum Residential,Heating Only(New Construction) $64.50 50 Residential,Additions&Alterations 9.50 Cost$ Residential,AC Only .-�49 Buildin Permit# HEATING PERMIT FEE $ L . STATE SURCHARGE $ 1.0a ffitorr TOTAL PERMIT FEE $ .so This Application Becomes Your Building Permit When Approved Paid Recei}� z, ,r— BuildinOf g ficial Date Date By 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372