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Mechanical Permit 09.0026
I OO 0 q OOOOO tl Emkkk 0 om 00 1 kkm ok rE /kkP �o � k 0\ /Bk t / \ z _ 0 to CA 2 \ " 11 pc 0 § n z -1 " . q \ r z \ ® m m r o - % m o x z \ . ® k / / ► ooOQOO • • 2 -I 3 ° o o a -10 c % 2 ? 2 IIII . 2 m n f R 2 ; ' - 3§■2�§ m o n " m e o , zzzz-z » z x hi k 5 W r.nXX z00 0 § / E k 2 ■ \ � I �m P 5 k § . . ?43k � ' OOOOOO ` g• > / � - • ` ?�2§§ � K 2 0 �§§la© cJ m $ fnoco - k . . m�m�r . . 0> z m ' �� o 01 PR/04,p CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFI J pLACE PE Date Rec'd • �fNN �Eso� RMIT / 2..o., 07 1Pink Aile lease or and •a at bottom 3. YellowYecity PERMIT NO.r, D OZ ADDRESS nPApplicant 1 9S) i+ ZONING(otiwe use) PP LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION OWNER PID (Name) PID, , (Address) i .,, (Phone) SOL j 6' Slfr" LAt' ,e APPLICANT ' ' IL I (Name) CRP 1E/ (Address) i�i� J :! h �h _ . (Phone) / , a f (Ad. ss) u Z SS 3 (Contact Person) h ( Q (City)/ . (Zip Code) (Phone) 76.________3 (P3 S - O�S'?� APPLICANT SIGNATURE �,1111,�. f rt, r • � DATE t .PLICANT PLE SE CO pNEw corns �uc�TloN �'LETE BELOW FURNACE MAKE AND MODEL r - REPLACEMENT ❑`ITERATIONS FLUE SIZE RETURN OPENINGS FUEL4 f_____LirtkZ___ TYPE OF SYSTEM INPUT ' OUTPUT HEATING OR POWER PLANT ❑Warm Air Plants PLEASE NOTE; []Gravity Stearn Air Conditioner ❑Mechanical ❑Hot Water Units and Fireplaces Cannot Encroach ❑Radiation into Required Side Yard Setbacks. ['Vent.System ❑Special Devices Fireplaces with Box Additions or []Air Conditioning ❑Other Devices Cantilevers to the Outside of Buildings FLREPLACE MAKE AND MODEL Require a Building Permit. Industrial,Commercial&Multi-Family 1% FEE SCHEDULE of job cost Residential,Gas Fireplace Residential,Heating&AJC $49.50 minimum $49.50 Residential,Heating (New Construction) $149.50 Only(New Construction) $64.50 Residential,Additions&Alterations Residential,AC Only $49.50 Estimated Cost$ $49.50 Building Permit # HEATING PERMIT FEE $___ l'..A STATE SURCHARGE $� (Office Use Only) TOTAL PERMIT FEE $_:= 50 � �/ fhb • This Application Becomes Your Building Permit When Approved Paid ' az) Building official fir No.5 7z/�" Date Date , linlin 24 hour notice for all inspections(952)447-9850,fax(952) '-7-4245 c 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372