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HomeMy WebLinkAboutMechanical Permit 12. 0712 5 0 00%. n 000000 0 a 20 2 n n O _■ � z -nm � 0 $ § se k r 0 Xk s MDCEC§ M m M 73 �� ® n n ® m z * ■ o ■ ti 0 �� § t -4 -12 $ o® q © 2■ c. 0 j -n . § 0 k 0 -n k § z m \ X r � z ri o ■73 oo Z 000000 o \ § m m A s "0MtM ' XI ■ 0E -InC | C "0 f § . § §X73 § m n co § m % :-..4 k � o§ �B �_ k 0 0 z . r -n§2 - 0 § 0 # § § § o 41 r § ' § ill k _ ... 0 . C `� $ A00000 \ R. o k § � �§ n1 \ z Fsss § , rts- > mm -Im 73 -n ■ -Ir d � t §■ m -4 r 0 (ciRjo ") "' `/ O , CITY OF PRIRI KE Date Rec'd 13 y HEATING/AIR CONDITIONING/FIREPLACE PERMIT g 4I1vNEso"o I. Pink File /PERMIT NO. / 2.Green City L 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 4%7(.0 'pi:R.)1-000A nic- --)e.... LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER t -~)t,� (Name) t\(,t O' .Q. (Phone) '192:12: 4f' . (Address)I'M i'41 O( ' . Qs-\-- . i t.11 )- APPLIC T (Name) ' Preak k tl 0..,c0 1 c1 ea, (Phone) ts- 1- 43-1- Li (Address)1 01 \Pe l to..'t lkt A\- (A 6\c �. -5 (Address) (City) (Zip Code) Lak.)6.A.(Contact Person) (Phone) (.,_0i' t 1 ') 1411-) APPLICANT SIGNATURE - ,L,. ,._ ,.-"` ..,,-.- .... DATE f . APPLICANT PLE• .E COMPLETE BELOW ❑NEW CONSTRUCTION j REPLACEMENT ❑ALTERATIOM FURNACE MAKE AND MODEL ) C ' , l\ FUEL t<>M(Gl. t, , FLUE SIZE RETURN OPENINGS INPUT ..it C ) OUTPUT 1%)(X.90 TYPE OF SYSTEM HEATING OR POWER PLANT ❑Warm Air PlantsPLEASE NOTE: Air Conditioner 0 Steam Units and Fireplaces Cannot Encroach ❑Gravity El Hot Wat ( (. �1 +echanical into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or ,it Conditioning 0 Special Device p • ent.System ❑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&AIC(New Construction) $149.50 Residential,Additions&Alterations $49.50 Residential,Heating Only(New Construction) $64.50 Residential,AC Only $49.50 � Estimated Cost$ `l"# Building Permit # HEATING PERMIT FEE $ r • 60 STATE SURCHARGE $ •-• . I _ TOTAL PERMIT FEE $ r l`F+� `-F%% q. 5 D (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Ty Ta Receipt No. ' 43z I To Building Official Date Date q/3/iz— By 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372