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HomeMy WebLinkAboutMechanical Permit 09.0954 z za0 `zwwQ 4 IU 1'-- a w : : - . 8u J'z° u. " o x o III o x y w O aa -+ O UJ }' (9 OO LLQ ri • z o O WT _ � a z- x=zzO U V a, N o 0. =UWgmU � EN W N O i Ia 6 z n' 3 a�3u� a� w w z o ❑O❑❑❑© cwi vuj- w R O O az wa a ai- �w0gal } z a u. e• gsl aa y o p¢0a=- Z F 'Ow w w p� aa w II y �+ (iiw w -i W a Z p p Ct��F- it LY L "I VZ Q = u u. u.?u. in Q ' 0 0 R. V p < O a ❑❑C7❑❑❑ 0 o V 0 0 0 c o� rR1o� CITY OF PRIOR LAKE C / ate Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT JI I.2 3,0 y U tr7 �'jNNEso��' 1.2.Green City / 0 Pink File PERMIT NO. �j p4---' 3 • 3.Yellow Applicant 1 not and sign at bottom) ADDRESS 6-e.,,,2/-01- ZONING(office use) S-r�90 Le s z. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) "'"- AP ANTrh b _ a-__ „ArA. / 6. (Phone) 7..r.z^ V Q?(01 /G S Pc-,4/4 ie,-vote Gi-- ES-3)• (Address) (City) (Zip Code) .. .w •- .I k - r•c_p. (Phone) ='` 'LICANT SIGNATU' :��/ A , A�, _,A�'. , T �� APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION11 FEPLACEMENT ❑ALTERATIONS FURNACE AND MODEL 5 ��_� FUEL RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants ❑Steam PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or Cantilevers to the Outside of Buildings ❑Vent.System ❑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 $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ il'd U STATE SURCHARGE $ n, 50 TOTAL PERMIT FEE $ .J v !/j) (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Recei o. Date 1, 2.3 U B Building Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-42 5 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372