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HomeMy WebLinkAboutMechanical Permit 15. 1515 5 0 OX n 000000 1 0 8 E $ § kQ c -91 Znn § co m m xi m 0. mom k � 7 ��E ; Ez •$ % t > Z v §®-1 P Z k CO 2 a 0 i § r % m > 0 ` �� mm NI 0 r z . I � r o 3 r 4. mX WI k k k 51. DO = ❑ O 41 z § m r > m r CI § ° ° ( � � � � � � ` 2 f 2 L $ § § § 75 § m p - CO E m -, 0 > 000 0 C m *a 0 U 0Z . iiO0 ■ c § 0 7 m 1- 9 71 il P , m r. 0 o z m __. 0Id) l �_ 000000 ° o 7 0miisn§ ih.. Rs 0 © MMM30 m % i � ; ;;_ 0 4 A . => fn' F -I Oit - §■ --1 r- ® 4N„ ,,�� PRIo� CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT la, lgIc INN$So� /5: /c'J e2.Grven k File PERMIT NO. 3. Yellow Applicant ® I ��j� (Please type or print and sign at bottom) ADDRESS ZONING(office use) W‘'L6 w\L-t Mooe C,v) t, 7)1r6 LEGAL DESCRIPTION(office use only) / LOT 6 BLOCK / ADDITION We- & 'c®s 0 ,-1'1�. iv/ as PID.0.75--3F5-e196- OWNER '5-e196OWNER a (Name) tQhl L �1TpS?E L (Phone) I - )34 - -15(3 (Address) \ `1 I Z(e UO1 L Y)W0 0 COO L-1 (Name)APPLICANT �l(VE 5C M.ecH kat or 1- (Phone) S a' 14 I 1(7— I (Address) I Z 1V / ?WA/ ER- T4'1 L EOP'N PRAhtif t kt/V 55-3''t7 ()Elttle-)ilt Vf(Address) /lt� (City) (Zip Code) (Contact Person) CHV ( (LL ( hone) q� 1I (tat( APPLICANT SIGNATUREC AaA4/LA/l/W DATE 12 -11 ( PPLICANT PLEASE COMPLETE BELOW EINEW CONSTRUCTION IQ REPLACEMENT ❑ALTE TI¢I�T_S FURNACE MAKE AND MODEL E LE C`C(Z o 1 N 01/S- ied 4 t S C 11-1N0— D-1 "ntII, �__p\S FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT ['Warm Air PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity RHot Water ❑Mechanical ❑Radiation into Required Side Yard Setbacks. Air ConditioningFireplaces with Box Additions or ❑ 0 Special Devices ['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&A/C(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 UI ` Estimated Cost$ }00 Building Permit # HEATING PERMIT FEE $ WI .51) STATE SURCHARGE $ 1.00 TOTAL PERMIT FEE $ 5 ) •4,1j 313/ 2 (Office Use Only) - / `j/ This Application Becomes Your Building Permit When Approved Paid9;J 'Z) Receipt No. 2 By C ' Building Official Date Date �— 1 C7`� ) r 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372