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HomeMy WebLinkAboutMechanical Permit 15. 0696 .4> - 0c n 000000 -0 0 a ■o O n 0 © 00 . 0 gkkkkk Z m 7, oIP m § r m s � r ■ 22 § -I -utri r 0 0 ■ m ■ E � a P o t10 ) § § �� � � �k q -, 0 z 0 0 z T mm % 0 » ■ § x r 0 3 Z 2 00 000000 ir 41 m - m m . E -nrn * ET1 § -1n $ c ? m 0 % 5 ■ rn $ B m o C) % R m a m > c o § § z m \ o z . r2 § 2 - z p 0 0 F. m z � § -a P m / I q I m a 0 . — ■ 0 E 73 mOOOOO _ >0 0 > xixt0§ § 41 z WI 61. $ § . � mm % � m XI -nxiE -4z - -4r 0 V RIp� CITY OF PRIOR LAKE v Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT tet ZZ, /s- ,.., z., INNES... 1.Pink File � 2. Green City � 0�(l� PERMIT NO. ////���� 3.Yellow Applicant T (Please type or print and sign at bottom) ADD FSS ZONING(office use) I CIIC 3 C .�A 0�woo� CiN . — I>lib LEGAL 'DESCRIPTION(office use only) n _ ,,, Ad LOT 1 `BLOCK ZADDITION /Wk.", 4tA A/ PID Z."'ON °01/- 9 (Nam)'n O ( r�11�� .11 Mg.I (Phone)'7s-a- ( / " 4 7?-( (Address) APPLICANT (Name) '.''a, ;n ce Connections c. (Phone) ;4350 Chestnut 5537 • (Address) Shakopee, MN 952 „:...•:'03 (City) (Zip Code) (Contact Person /Aimt ! / (Phone) APPLICANT SIGNATURE WiREMI DATE1,110/ ' APPLICANT 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 PLEASE NOTE: Air Conditioner ❑Warn Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water 0 Mechanical into Required Side Yard Setbacks. ❑Radiation , . :it Conditioning 0 Special Devices Fireplaces with Box Additions or ► A Vent.System 0 Other Devices Cantilevers to the Outside of Buildings Require 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 $ � STATE SURCHARGE $ '�1i err- TOTAL PERMIT FEE $ 4 (Office Use Only) 6ij This Application Becomes Your Building Permit When Approved •� i i ,c Receipt No. )(1 /6"" Date ^ / By Building Official Date (Q j2_ l S ?5° 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372