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HomeMy WebLinkAboutMechanical Permit 10.1095 5 0 0 0 C000000 -o 0 a Z n o n np 0 cn �n0 p- 5 n 0 0 o o CD _� zVamm mbn ° z mO 1 x C � mz1 v •m 1,1 rmmo to rz zvzz 0 'G * ..414_, C. O Z -1 0 Xi --1 m v z 0I ; ni ' Unzzi :►0C .; _ .o z -3 ti ° IPz ®QmX 'Tihl mnv rh 0 W U r , m o 4) �./ ZXi.' n n I, 000000 o -a xz v o -f— m ril > mr � -, MZ mxM -n 0 m o b n , Z z z x x Z m Z z • pi m 6 '{ > 000 0 m --t m m ao 0 m m r13� o o ty ,A, 0 p = 73m tz o ?o m 000000 tV ;; _, _ 71"0 1:1 Z t Z ....."" C 0— P i s;S;N;Ci 1 PI vr., ***"`s< a Z-n :4 Z1 C, - r G) Y R-104, CITY OF PRIOR LAKE Date Rec'd °� � HEATING/AIR CONDITIONING/FIREPLACE PERMIT //. 2-2-. Co x �I tq• 1.Fink File PERMIT NO. /v• X0731 NNES� 2.Green City / 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) j cr7 1 t slab 0 lehv Crck LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID O(Naamme)R I PP(—r * U O "A SOC' (Phone) (Address) 3 S.ZZ Island V tow l..\l`ae APPLICAN (Name) 01`kZ0n CoAloi&is ' \(_ (Phone) Co la'SID a a b (Address) C?•lq 7 14©hz.. d'I've S101.op ST'3 71 (Address) (City) (Zip Code) (Contact Person) ' ,1 v ryl li (Phone) (DO-:)g1-9 a'11 APPLICANT SIGNATURE I. A DATE 11—)',)`'1 0 APPLICANT PLE COMPLETE BELOW :NEW CONSTRUCTION PLACEMENT ❑ALTERATIONS``' ACE A • AND MODEL SSS C)&10 bO l O FUEL IN , II SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner :Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity 0 Hot Water into Required Side Yard Setbacks. ❑Mechanical 0 Radiation Fireplaces with Box Additions or ❑Air Conditioning 0 Special Devices Cantilevers to the Outside of Buildings ['Vent.System ❑Other Devices 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&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid / 5-1) Receip o. 6 d 7 Date/_ 7.....z.../0 By Building Official Date • 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372