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HomeMy WebLinkAboutMechanical Permit 15. 1414 n 0000 -0 o > E In 0 0 0 q &$o§ 0 § o s8/ 2 r k o k k � iI� � : --1 k-a hi r ■ 2 1) � Q § Q 0m % R § 2 01 §73 c & 9 � . § q� 0-. co - 0 t Tm m \ o XI r z % x "cs 'a rIll 0 o . 000000 41 z § m m mET $ mE p� 0 - . § o o 0 � 0 - 7 �► ii § ■ § 73 Z ■ m p § C) 2 / § ). BQ0C) 3 - m o % § r2\q ■ 2 ! c g. 0 S CNEP r 'a� P (� 0 o k o. 0 0 m 0 § 0 m 000000 - , ct a ■_ Q o o 0 mmE0 2 % » EaTa 2 m �� �§ V\ 41 ¢ a00 ■ m � - § A q � - E . § -4r z ^ of ri io4P CITY OF PRIOR LAKE 0—/ Date Rec'd it. c HEATING/AIR CONDITIONING/FIREPLACE PERMIT it r . / U r ,NNESo�P rn 1.Pink File PERMIT NO. 2.Green City(Please type or print and sign at bottom) 3.Yellow Applicant / iL ADDRESSex\)__ ge ./.eic...4: ZONING(office use) 7./2. A t LEGAL DESCRIPTION(office use only) / ,/ ' / LOT I BLOCK 3 ADDITION �� 4, 74 G_ 3 —(1.4e0I rIJ PID 2-6---;/ '-O3`AO OWNER (Name) (Phone) (Address) 5-69 `)Cir ani vecQ l r l v677_ APPLICANT Al 13V1) (Name) Via 1r lh u� l 4i�! ©(i ov (Phone) (Address) �1 4 �p, Ar st - (Contact Person) J0• A (Phone) 6 I a--'IA Q,-.a- ns APPLICANT SIGNATURE DATE IA '04-6--a-01 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION %REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODE /(O V6) Q) FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity ❑Hot Water into Required Side Yard Setbacks. P41 echanical ❑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 $ pie-SO STATE SURCHARGE $ =,y 0 TOTAL PERMIT FEE $ ,r= This Application Becomes Your Building Permit When Approved Paic�!J 4 SZReceipt N47��.2,4J v J Building Official Date Dates I . . I .5,- By s ,,/./ 24 hour notice for all inspections(952)(447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372