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HomeMy WebLinkAboutMechanical Permit 13. 0802 n OCOCOO I g v 945 Q 2 . ems72� f o rn� o MEc © 0 �� 42 nn s r -02 _ S73 2 g a kkk ` g - � �- ® o z % r 71 \ \ cn 9 \ §/ / t § > U $ m& S4 23 7 % t n a o . . / a . 73 N o000OO/ k kkk 3 §7 M $ /k �k � m 2$ ■ Cl)§� � ■� Ora Iz ■ § § & r-nz rt-,% ' 2 ■ §% § c 11 m c m 6 it ""n B % S , m \ ns 730 § \ ODDDO ' @ Iii \ >kk0§ `N. ® m 2 2 $ \E4 � � i a Q mo c Rs o . » 225 ' 7 i -a r m 41 111 §$ 0 § . i o. PRION (ITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/FIREPLACE PERMIT - CV T, 1 �'INNESo�P 1.Pink File .PERMIT NO 2.Green City `3 (9( 2 3.Yellow Applicant / (Please type or print and sign at bottom) ADDRESS ZONING(office use) IS 152 VOC".\-SC1 T(' \ SE Pc;o - \NL - Ho S53-7 2- LEGAL LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) try10 a, 2;1/1C,\at:1e (Phone Co 12 (o.)c}Ob-)O (Address) APPLI,T (Name) a,VI ,�O ` 0Z r0 (Phone(2 S)332-3°2 0 (Address) y1 Oh I(O C tv►llas/l h U c&L d Tr-A.0\ (ContacPerson) (Phone) APPLICANT SIGNATURE VCIL7 DATE 0)/2-'1 `2-0 /3 APPLICANT PLEASE COMPLETE BELOW W CONSTRUCTION N14 PLACEMENT ❑ALTERATIONS URNACE a AKE AND MODEL FUEL - - I 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. ❑ anical 0 Radiation Fireplaces with Box Additions or it Conditioning (v 0 Special Devices Cantilevers to the Outside of Buildings • m ❑Other Devices ��� '�" ' Require a Building Permit. A r•,..at EL • — 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 $49.50 Cost$ Building Permit# HEATING PERMIT FEE $ f.. 5-7) STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ �ifI') This Application Becomes Your Building Permit When Approved Paid`Tt c Rec t No.6 qDate J-,7 Building Official Date ( z_ T". B / 24 hour notice for all inspections(952)447-9850 - 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372