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HomeMy WebLinkAboutMechanical Permit 09.0948 n 0O0000 7 0 2§ \ O O O !JPPZ $ 0 7r 0 Ca BII k 71 § \ ® c. -0 -© o / t / 0 in 0 Z z Z xi t �. •'-i $ k k CO R o 0 m $ 0 a © . 8 X r Z U' / m 0 $ 2 OOOooO ■: oo ■7® ■sem ,- 0 0 -1 z 0 t3 0jhq ai ro n ■ ■ E $ fri■ o om u . r@oo § c U 2 D / kk PZ r cd2 • 0•14 $ § \ X , \ \ � ' or- OOOOOO l o \ 2 4 ' x . 011@0 § - a § > � ' k§§k/ ® §-0-0-0o p z >§ §z% \ 0 �. q2@ter § 4r Q co o� rRio, CITY OF PRIOR LAKE Date Rec'd ,� e HEATING/AIR CONDITIONING/FIREPLACE PERMIT 7.3 /1,17 0/ j�'NESo�P 1.Pink File I PERMIT NO.M O� 2.Green city 0 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS 3,-1(0 N) R� 6.12,'"&i--, ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER 14 • l �(� \Len (Name) ,,1.�.Y\\- o� +r1 .�' .\Uor t L ✓I(/\ (Phone) C1 C ,.,--`4‘..15 -12% 1 (Address) 3—1 3l4. / J 0 ,--\ ✓'&,.1 p` (.k, APPLICANT ( - "`--\"‘L‘ ` . (J (Name) �� ^� r` �l� L (Phone) 1 S .—"��1 - O \o�1 Phone (Address) \ 109 O 0 t-\ L v rfrOk.. kik 6)✓l V� kt S S 11 (Address) (City) (Zip Code) (Contact Person) N ..\'‘,.:".y `h 1 (Phone) 9 ...5 ---a -6 d�vl APPLICANT SIGNATURE DATE \k— f l -ci APPLICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION(� PREPLACEMENT ElALTERATIONS FURNACE MAKE AND MODEL '>--s y'V --.. '(..rA\l GLI )--c)S) FUEL N cA+ FLUE SIZE RETURN OPENINGS INPUT go, a sCIv OUTPUT ) i TY-0 TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE: Air Conditioner ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical ❑Radiation ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or [Went.System 0 Other Devices Cantilevers to the Outside of Buildings 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) $64.501Residential,AC Only $49.50 Estimated Cost$ "t0 0 0 �.1 Building Permit # HEATING PERMIT FEE $ Li i S STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ So (Office Use Only) This Application Becomes Your Building Permit When Approved Paid J Receipt No. 5- z2.82 Date /1 /..� d? By ` Building Official Date /�� 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372