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HomeMy WebLinkAboutMechanical Permit 09.0721 - o O O n 000000 7 0 > 2 © k n 2 §7B� o� 2 A m/ 2 r / \ . -..,C � r\§¢E 0 0 �13 q Q P 0m k t % m 0 § §0 C w 0 0 ■ I 0 \ % 7 § K z �t m A 0 § > / El loch % / 3 P3 73 %kr, 000000 73-• o § / m m §13COt §13 11/ ? e § § 7§ m7§ 0 ® N �§ 27 � § M 0 7 $ ? % / q > 000 ® s -i § _. % o m 0 ^ r -noo § 0 § ] \ 2 § kk C % 2 K 0 4 ® o _ § , 0 1111 \ig � ' 000OOO o E � - ` § k§k§ r*--- ). & \ > III § � E �� � 2 m ���K . � \ 0 ' atA§K/ § < XI r m 04 rat04 CITY OF PRIOR LAKE Date Recd HEATING/AIR CONDITIONING/FIREPLACE PERMIT 9 IS d 7 tikivgsoo I.Pink File 2.Green City PERMIT NO.0 IF o7z/ (Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS 1 Q S ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O (Naamme))R 71; krek 2- (Phone) 1S2- 1 -Z S 9 I (Address) 11 AS flail 4c tr r'1 U✓ 55-31 2- APPLICANT APPLICANT (Name) b1 �PG"1-)}'1G (Phone) (31S2A3S'• 777 (Address) 1 s O i 1AVGl,3I � S �° n O` SS`13 ddress) (City) (Zip Code) (Contact Person) 1.4j 006 Stoic;W I (Phone) ` e- - APPLICANT SIGNATURE _ DATE 4)1 /1 / APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSSTRUCTION 2 t'REPLACEMENT ❑ALTERATIONS S0. FURNACE MAKE AND MODEL � Y1t 355c1 V O L-(2 d b O FUEL ovs FLUE SIZE b RE OPENINGS INPUT ("0/ O CO OUTPUT 571 6 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 . 'Mechanical ❑Radiation into Required Side Yard Setbacks. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Vent.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&AIC(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ 1r5j 00 . 0 0 Building Permit # HEATING PERMIT FEE $ 9 9 • 5 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ 50 O b (Office Use Only) This Application Becomes Your Building Permit When Approved Paid .5-0 Ulf Re pt No.5 ((o %Udine Official Date Date p r�• B 24 hour notice for all inspections(952)447-9850,fax(9152)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372