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HomeMy WebLinkAboutMechanical Permit 14. 0952 5 0 0 n 000000 - o » 2 0 > 0 0 2 0 0 g2K2ooo z m �4 : r r 71 R � co m Eg5§0E z g -4; k -I m ® © Z�k > § / - §q c.ei 0 ] cn g Z 2 z ivi © _ § 0 0 § § -n r z ---- "4 "4 r o 3 0 -D k k k 2 moo x milli; . 1 000000 _. ■ g 0 o , mr ®$rnr $ ;4*. ? nC2 -1nc 0 ■ , 2 2 n ma min m o n , 0 / 0 >- 0 0 3 , . m k / - z 2 1 t rmm o m R x m J § 4/„, ri, Q. ,- OO000 � . � / & o�� © ,)- o2> 5. ■ mm ■o -±- xi Er .°� ,1 m -,t) > mmZ E 11 3 r cj _ • [ � � z § ® r 0 O. PR/04, CITY OF PRIOR LAKE C/ Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT 7, 3, i1.7 çNESO /' . E FilePERMIT CityNO.(Please type or print and sign at bottom) Applicant 5� I 1745 1 ZONING(office use) LEGAL DESCRIPTION(office use only) LOT 3 BLOCK Z <ADDITION 4, 'e ,. 4,/ PID a?JT. 603,Zef-D (Name) ac.) v ar- p T (Phone) �15 '.Q8B-7l d? (Address) gm,_ APPLICANT (Name) 2 (Phone) (Address) (Contact Person) j / I (Phone) APPLICANT SIGNATURE � I/ /.__J.,„,,,, w DATE if APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION ['REPLACEMENT ,ALTERATIONS FURNACE MAKE AND MODEL FUEL 121 FLUE SIZE Ma% A RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air PlantsPLEASE NOTE:Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water ❑Mechanical into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System Other Devices 0.a %we.4-NA-AR lire a Building Permit. FIREPLACE MAKE AND MODELVehm (I0,g},�,�g I Ri�Solu fe 2q1 b y__%%11�" FEE SCHEDULE Industrial, Commercial&Multi Family 1%of job cost Residential, Gas Fireplace $49.50 Construction) $49.50 minimum Residential,Heating&A/C (New $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Cost$ Build' Permiitt## HEATING PERMIT FEE $ t Sit-/ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved IMMUnir Receipt No. G'7[r Building Official DateIlinallin By 24 hour notice for all inspections(952)447-9850 ' 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372