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HomeMy WebLinkAboutMechanical Permit 09.0756 ui 2 § ZI= j ...LL ce >641***% w \ tE �� � R \ \ Qu � 0 2 0 « / 2�\ - _ § k © bo ■§ « k U �� � : • > & OOOCOO 111 . � Q 0 www: = � � § � § ,� § ..c.1 § 2 . S � 0 §§ k § d § % E e ooamu • o m ƒ § © a c2 ooz3 C § c 2 0 k ILI ` § & 2zzzz — �` 0 0 w mx ■ ■2x a o . co o ■01 §3 § S § k 0 � }�K� �� 0 0 .r2 000000 rtg 0 2 , > o c 0 < ku. � v 2 � 2 q 2S § %11 $ ' �o §t . 2 W §� § 0 § � � � � �� § a. § d zo-5 2 . � a k ¢ o a.0° 2 I ILI ze u.u.u.2Ik 0 _ O 0 0 0 0 ■ « 0 a 000000 0 o4rxxo4 CITY OF PRIOR LAKE Date Rec'd {._e_ HEATING/AIR CONDITIONING/FIREPLACE PERMIT 4rl NNESC�A 2:o ecn C;,y PERMIT NO.0c/"7 c(,� 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) .DRESS 1(9� E 3 La s i A L^-c_., LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PM OWNER est WQcl e-I (PhoneOla 38 59 ''!" U (� ) J Address) Le I a3 ) iLe,S t 1`\ - ` ' `r k_51._'" APPLICANTI (Name) Wl 1(1 b ettirY146.C; (P�hne) c .S� yq S yelY y (Address) 1 (A�d �• � < S�� (City (zip Code) (Address) /l (Contact Person)1-'f��k Ad`e��-� D 1.71.0"Q (Phone) & C) (it-6 `l v y`7 APPLICANT SIGNATURE A-1"..'t DATE ee—i.,0 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION 51 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL6WCtrnCA,n (,l 1V°l 5-d1°(/0 FUEL "/c, FLUE SIZE 7 Ufa RETURN OPENINGS INPUT(oci 060 OUTPUT G TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach ❑Gravity " ❑Hot Water into Required Side Yard Setbacks. gi Mechanical ❑Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings QVent.System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE $49.50 Industrial,Commercial&Multi-Family 1%of job cost Residential,Gas Fireplace $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50$49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only Estimated Cost$ ..3/04. Building Permit # HEATING PERMIT FEE $ 'f-Ct• 5 U STATE SURCHARGE $ .50 - TOTAL P ' IT FEE $ e--) (Office Use 0,1) Receipt Nop This A +�`'1 n Becomes Your Building Per lit WI •n Approved Paid .5-0 A. 7i'(i Date BY ie o4 2/ GGJ Y`V Dat, V' � Bu"d ,¢Offielai �� \\ 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372