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HomeMy WebLinkAboutMechanical Permit 15. 1349 0 O\0.. \ � 0 ° ° 0 3 k�� �o� zg o ■ % �� ' \ a -r-r-Ez\ 2 RO ? •.�� ' 2 Z k 3K2§ P (.0 2� 2��¥moo cn c" 2 0 ■ % 71 0 z § \ 0 > � 2 z d r o s 27 %t mm ox m o 7 2 % Z ■ o o - Jm ■ 0 m § m 2 �m R00000 - A 2 K ? cn ��0 f m2 ®ter w 2 M , m ■■ \§2.40C 0 mm 0 ■ el 0 \ / ! >Ogo z i- ■ r ■ $ S m 2cC Z • m 0o r p 2) 1 a 0 $ E 2 ! R• > & 000000 � m � 0§ o« 3. ni-l> \ � 0Z i :- /// >0zmp7 %04. -nxr k i � m . 0 i VRI0 CITY OF PRIOR LAKE Date Rec'd ° �e HEATING/AIR CONDITIONING/FIREPLACE PERMIT S h 7 Z . Z. U rzf 1.Pink File PERMIT NO15:: 34fINxesoC1' 2.Grcz7, een 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) ii/SR q .3)t.1/4. i.;,, ,-,SL '-' ,..c_ .N. RI sA LEGAL DESCRIPTION (office use only) LOT '7 BLOCK 3 ADDITION f ilio ,4 L PID 2.5"-3 fQa•©p?7 el OWNER ` Z...'t�r��e•-•1$./ (Phone) 2-L a 4— 9163 (Name) Ll 5 a. (Address) APPLIC ) L (Phone) 9S / - 2S)/l0 (Name) 0'1 o r 1_,..)4.e.- �L L Phone 1C9S0 7 � ��e () \- Pr 'c 1)11 rnrn (Contact Person) ,rteT' (Phone) 7_g/17) APPLICANT SIGNATUREyvfe- (Address) r...7 DATE 8-a21tc' APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION PLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL 101 7.-- FLUE FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE F SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner arm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation Fireplaces with Box Additions or .Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 0 Other Devices 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 $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ k/ /' So STATE SURCHARGE $ 00Wc_e' TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid 5b.c0 Receipt No.3 Z Date Z '` By Building Official Date Jo 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372