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HomeMy WebLinkAboutMechanical Permit 15. 0690 n 000000 0 � - O O 0 ; ism2o il % li �2 � § ■ $ 0 0 0 m » c §o m m § m 0 0 0 _ erc$g ■ F. -0 g p k mm 2 � o� Q BE % rt 94 ® FA 2 6 §73 0, t - . z it, ~ > I .73 g (D Q R 0 000000 0 . ■ ■ r � m -, Zg gi 0 0 ` }i B il 70. Y 5 m o g 2 ® ■ ' - 73e ■ z x ) CI z ? r ' f• §7§ Q s § CI a 9 ( r - 20 ■ 2 c \ 0g 0 i $i 0 § 0 2 m _ \ k $ k8 000000 I , $ m ›7373 §§ Z. ■ mmmE0 2 0 ri;;;K i _.mm�/ 2 tm 0 -I r m § m -4i § CITY OF PRIOR LAKE Date Rec'd �� PRro� ZZ HEATING/AIR CONDITIONING/FIREPLACE PERMI ✓ �. _ 5 U t:f 1.Pink File PERMIT NO. /5 �® 4tINNEsoCP 2.Green City 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) I-fi�'3 q Col oc- o ‘.., LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OE (Name)R—DoNC— C 4-'c. (Phone) (Address) (Name) AN �K �_1 L a-[t[L1?.11/0 (Name) 'ITN b c- c Ll-� (Phone) (Address) 1 �S$zi ? 101 C 1 rao t< C--k-, 'Dri o r 44.A. ihW .S"-&37 (Contact Person) c... A Tw.e.m, (Phone) APPLICANT SIGNATU' : ,_, ,i/ ' - ,1 DATE Gr•--. ...-/&'-` APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION eTitEPLACEMENT ' 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ,TenWarm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or .reit Conditioning 0 Special Devices Cantilevers to the Outside of Buildings 0 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 $ ,5?) STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ .01. 2) This Application Becomes Your Building Permit When Approved Paid 5451) Receipt No. MOO-- DateC?, 2.2_,, IS BySti_______, Building Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372