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Mechanical Permit 15. 0888
43 i 2 /k E. § � � ��5 2 um w �2U © w > ��27§ m 2 « _ 08flr2 z � § k U � � � § co 0000011, ■ I w x _ . rt N C. w 6 § § k zIn \ p k 2 0 k J ■ 0§ § e 2 § U 4 z b 2 � 2x@I CU # % " a $ § §§§ mak§ ` 0 oz I-VI § mow « � w . a ■ ■ ■ a ■ 0 0r LU \r cOocOO 0. �• � I O < a u. 0 I- § e co z z z 0 � S2 / \ k - 2 0 2 Z U) o U % ■§ d $ « 2 � I\H uj I" ILIz oM ■ sem g z - § 5 /% 0 0 www3Mw O c O a3 a 0 a 000000 U Zots-ztosy-H c......., T :7, ';17,,i,I-Tfi iT,Ii:IrclZ 77 1 i }ttlq4 Oh.+t~; 'd HEATING/AIR CONDITIONING/FIREPLACE PE T A �" LA ti if I hi iik By 444'NEsocP 1.Pink File PERMIT NO. e 2.Green City / y Cia �( 3 .Yellow Applicant /✓ (J (Please type or print and sign at bottom) ADDRESS ZONING(office use) rcictc- Wine. (rest PA, kw Prior La be LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) Oer �C)I.e p,,,---1-- (Phone) (01a-- (0— 4(.olQ (Address) 01-k-4 5-ko - Cres-t-- -Pa't'Vt MW -Prior (_c7),..be. (kikk) APPLICANT (Name)_ Genz-Ryan (Phone) 957-767-100a (Address) 2200 West Highway 13, Burnsville, 55337 (Contact Person) Autum ` (Phone) 952-767-1000 APPLICANT SIGNATURE ,ISJ/'�i''�� DATE 2 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTIONEEPLACEMENT DALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warn Air Plants El Stearn Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Re uired Side Yard Setbacks. ❑Mechanical ❑Radiation q ll'ConditioningFireplaces with Box Additions or ❑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) $64.50 Residential,AC Only 13)4 Cost$ Building Permit# HEATING PERMIT FEE $ Lig ,-SC7 STATE SURCHARGE $ 66 TOTAL PERMIT FEE $ , This Application Becomes Your Building Permit When Approved Paid Recei o.2 Building Official Date Date gy 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 3