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HomeMy WebLinkAboutMechanical Permit 09.0070 E 0 00 C) 000000 1 0 2 $g 2 n n 0 g7K�o8 g § g m/ r, 0 ' 00 �� m �r�E�° ■ n„ § r k § § 7 m K \§ad oz co d� % r q . 2 ] Z o / % U . .. • © z ICo. .43I\ \ x O \ • . m m 11 > 0 --- kII 0 00 000000 k rn xi in ��� t§ � o q 0) 22 mzk o CO ■ $ . . m�X ■ ■ § m o 0 % 2 / :I 000 0 3 - m ; 2 m m 0 r n0 0 2 ri I ■. 2 q B o . tcc z r % 0 \ § . i r 11� .� - 0 2 k 0 z m ( 0 a . co �' . 000000 \ 2 k NZ 0112§§ ' � § _ "-4't ..., 2 a § 'U &ccc0 0 . >q§z§ d "1Z 1 -1r o (OF PR10� "C9 w ©J v 9 �A, CITY OF PRIOR LAKE HEATING/AIR CONDITIONIN Date Recd CONDITIONING/FIREPLACE PERMIT 3, G U 5 ri ikNES° 1.Pink File 2.Green City PERMIT NO.0 ease /' or riot and si at bottom 3.Yellow Applicant L/y� �O�1 ADDRESS�� 6 '' 1 fV r ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PI]: ( ./ 6 ow yR41 OWNER ( / CO 4 0 S (Phone) .---9 (Address) &r Mk)' APPLICANT / (Name) t - r #'/R 0 ,,��� (Phon-) is' 00 l� 14 (Address) _ !� r ,t ' LAW' �-- (. :. .1�, 17 of A (Contact Person) � r ( 'ty) (Zip Code) ••,I _ (Phone) ...&1/14. C • APPLICANT SIGNATURE r " �_ "� DATE ,� -0 PLIC- -T PL.A COMPLETE BELOW ON Fr • STRUCTION 6 . PLACEMENT FURNACE MAKE AND M•DEL - (.7 ❑ALTERATIONS iw irk. / •,G ___.b 31—________ FLUE SIZEY_Y_Li \l � FUEL RETURN OPENINGS INPUT l.�"� TYPE OF SYSTEM HEATINGOUTPUT�S'S G�--( OR POWER PLANT arm Air Plants 0 Steam PLEASE NOTE: Air Conditioner Gravity Units and Fireplaces Cannot Encroach ❑Mechanical 0 Hot Water 0 Radiation into Required Side Yard Setbacks. ❑Air Conditioning 0 Special Devices Fireplaces with Box Additions or Cantilevers to the Outside of Buildings ❑Vent.System 0 Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL Industrial,Commercial&Multi-FamilY 1/o o FEE SCHEDULE of job cost Residential,Gas Fireplace $39.50 minimum $39.50 Residential,Heating&A/C(New Construction) $99.50 Residential,HeatingOnlyResidential,AdditionsCly &Alterations .$39.50 (New Construction) $64.50 Residential,AC Only $39.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ PPre:;79- STATE SURCHARGE $ . .50 TOTAL PERMIT FEE $ a--v (Office Use Only) This Application Becomes Your Building Permit When Approved Paid l I Jv R7eiptNo. slue 40 Building Official Date By Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372