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HomeMy WebLinkAboutMechanical Permit 09.0851 g 000 0 000000 I 0 > E0 n n k 333 ' � kkkkk m $ m �53/ to r k § 7 m Er � §EU z $ -� k t % ] Q q@ P 2 ■ w . q 2 ° , 0, � 73 � $ k 311 0) q 5, \ \ a )- © m m § r 0 - r o _ k00 000000 13 % / § § � $'0 ® * C "0 ■ \ E - 0a -10C m © ' ® § o m \ ƒ �_ _ � § ■ 0 A E .9 , 0 r %kq % § a ht -4 \ z I22 c 6.3 2 R § r �� 0 / i = m 0 \ . � ' 101/01.' 000000 J k � , X22 §§ o © _ -o-o - ® ft: \ 0 (II �0/§K § -4z- �� 2 � > r m -ir o o� r mop CITY OF PRIOR LAKE 9 HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Recd /0, /6,0/ Mvas0 1.Pink File 2.Green city PERMIT N lease or t and si a at bottom 3. Yellow Applicant Cl.D 9 O 57 ADDRESS (� (/ I 7" '— I L'i r- , ZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ('� OWNER 1 (Name) S�C(< < 4- C r" J r von ` (Address) , -c -11 *' (, r I (Phone) y`�.� �`"� ✓nth U r J-1 1'' u f APPLICAN ( ,,, (Name) ► v NA ^ I L 1 �� (Phone) (Address) W e1 L v L- IL A r I U= L j(k 15.S 3 1 ( Nc.,,, , ( t)�i O (City) (Zip Code) Contact Person) (Phone) e\ • • -MUt i -k I. APPLICANT SIGNA • • I A ii DATE 1 Q , J I �`l APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION '� ► PLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL ik—k ink- 3 S'SC-P V a V FLUE SIZE ��L... RETURN p FUEL 41..f______________IV RETURN OPENINGS INPUT v Q OUTPUT Sb,O RS TYPE OF SYSTEM HEATING OR POWER PLANT ['Warm Air Plants PLEASE NOTE: Air Conditioner ['Gravity ❑Steam ❑Mechanical ❑Air Conditioning ❑Radiation❑Hot Water Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. OVent.System 0 Special Devices Fireplaces with Box Additions or 0 Other Devices Cantilevers to the Outside of Buildings FIREPLACE MAKE AND MODEL Require a Building Permit. Industrial,Commercial&Multi-FamilY 1/o o FEE SCHEDULE of job cost Residential,Gas Fireplace Residential,Heating&A/C(New Construction) $149.50$49.5inimum $49.50 Residential,AdditionsC &Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ _ Z. 63/ Building Permit # HEATING PERMIT FEE $ S-(3 STATE SURCHARGE $ .50 (Office Use Only) TOTAL PERMIT FEE $_ S ri This Application Becomes Your Building Permit When Approved Paid 5-0. up Receipt No. Date/0 Official Date 1,Q /(, Q Bu 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372