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Mechanical Permit 15. 0887
C7 000000 0 ) E 5 ❑ ❑ 0 NTZ-nTT 0 2 0 sO4 3 m >c4co m m m mo 03 ji 0 3 r 3z -a z N 0.11 O m Z � oD0 O zp 0 73 0. �+ cn—I _ z orn 1114N- 71 o > z '� m m z -4 p Bz -n n > 0% x r z -- ' tg m p13 1:1 0000 ❑ ❑ x z m m m me > mr to z o v = 3 mx3 12 n n z m ' = zsx � � 3 z I o v, o aop o m o v al 5 1 rT$o 1_ c 0 n , o z 7 x z r 't+ -i o z > c 'v m o Z T T ..1, ..no s "m1 �� vl c xi m � - Ap000❑ o ll •�' Z Z , r7)-a -0x J R. < o mA��t ztri 0 Dmm '�� m cn g z m -Ir o ''''s- 21„;i:_ -4 els � �- p C 1 I n 1 F � C) ,,'`i oif PRIOR LAKE Dale. <c,. d o AUG3 HEATING/AIR CONDITIONING/FIREPLACE PERM Jl.Pink Pae PERIN/ _ i�l V. / ✓2.Green City 8 8 r 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS X 5 5 5 \KAriAtr fc, L >. V3 --- c'-o-c. 01, - LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWN (Name) (Phone) 3—�k�-i-$C� -e lc. C l©\An P\rr\e.x'a>(1 > 3 s- (Address) d5S5 .ki \),.. N t'ursr ...fx ) APPLICANT Phone 52-767-1000 (Name) Genz-Ryan (Phone) 9 (Address) 2200 West Highway 13, Burnsville, 55337 952-767-1000 (Contact Person) Autumn /�_ (Phone) �- APPLICANTSIGNATURECLI/ j3irk,-�il%�' DATE a• APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION *REPLACEMENT ❑ALTERFATIONS FURNACE MAKE AND MODEL OUTPUT L FLUE SIZE RETURN OPENINGS INPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Wane Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑► echanical ❑Radiation Fireplaces with Box Additions or ►. , it Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial,Commercial&Multi Family I%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) $64.50 Residential,AC Only Cost$ Building Permit#/ HEATING PERMIT FEE $ l 9 Sc) STATE SURCHARGE $ 1 -00 TOTAL PERMIT FEE $ SO . .,v This Application Becomes Your Building Permit When Approved Paid Receipt o. -2,.(e,4 Date By Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372