HomeMy WebLinkAboutMechanical Permit 12. 0170 0 J
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4 P o CITY OP PRIOR LAKE Date Reed
° ATING/AYR CONDITIONING/FIREPLACE PE
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" ►*sem` LL Pim Fits
dreso City�.,, '` 1 NO. 2. ., / 70
LMow Wes erode rad stats at
ADDRESS NINO(4 1144 use)
5 +O ; ? • II ?
LEGAL DESCRIPTION(amuse only)
LOT BLOCK ADDITION ' ID
r7m14Eng2r444—\--ad iii ` \ • (Phone) ..tr,q—Rai' I r]1.
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Address) q., eA O. L !e ♦ all r 4 . 1 A 7 r •
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APPLIC • ��� �
(Name) 1t., . AA le Ills I . ► 1
(Address) it* ... m.A:a t� • , . lb I k ! &A 'h ""`IP A.
I Cedt)
—3(Contact Person) ISL .---_ (Phone) , i. .. — ° " 1 C)
APPLICANT SIGNATURE _ ... DATEl 711 D--
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CANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION q REPLACEMENT 0 ALTERA ONS
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OP SYSTEM BEATING OR POWER PLANT
PLEASE N• E: Mr Coadttioner
Warm Air Plants Bleats Units and ' is Cannot Encroach
Oravih
Warm
Water into Requir • Side Yard Setbacks.
Mechanical Radiation
Coaditloaiag Special , Fireplaces w 1 Box Additions Or
OVent.System 0 Other Devices Cantilevers .,the Outdde of Buildings
1143,4—+/}10 L--I ,
Require a 8 Permit.
MAKE AND MODELC*—i
p —'
pmts., ..
Industrial,Commercial&Multi-Family 1%of job cost :. Residential,Gas Fireplace $49.50
$49.50 minimum
Residential,Hearing&A/C(New Construction) $149.50 Residential,Additions&Altsratlona' $49.30
Residential,Heating Only(New Cansttuction) $64.50 Resided AC Only $49.50
The Minneaata.Statutcs$32611.14$ Coat Building Permit I
"SURCHARGE'has boon changed fbr ono F
year etlbetive HEATING PERMIT FEE S. ' '' 510 , ! +( i• •
July 1.2411k until Jew 31,281 i. STATE SURCHARGE $ -j,t l
It minimum srrduulP$'br a"fixed Ra"Pell" TOTAL PERMIT FM $ w"` _Z! .
is lsa beginning Ally T.3010
This Application Becomes Your Ballding Permit When Approved } Paid — ---6JRcett/..
ist t>aai Dam Date L.
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24 hour notice for ail inspections(952)447-9850,fax(952)447.4245
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