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HomeMy WebLinkAboutMechanical Permit 16. 0113 E 0 n 000000 li 0 > n 2 n n › 0 O O 2 AzK �oo $ § k4 k s m » c ,"co m m OMo % t 2k Krk �k� $ �� , 0 \ - m � �0 zk _ ■ » z \ \ / z k § -I r § 7 � m m -I % z k 0 0 41 m q mm . , 000000 ) § � � . � r � ■ ■ � 7 2 % f A ' - i § 2mx . � _ ■ ■ ■ rn © C) n B J . � 1 • > 000 �0 E 2 2 o § � r � oo / o /kk o m / xi 0 m c n § 0 § 2 § 00000 R. » § 0 lnxi 72 0 § _ N o 41 k §� �� ® �7 M 0 k ���� CN q m a_ © nzK .. mx �r - �Z m � r 0 ( PR1 \ CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONING/F RREPL�ACE PERMIT +?. 4-''' ifyl ti I--))9 le,J 1-1 ci I)L ktirBso Prnk elle PERMIT Na /6, /13 _ cr�c cry - .e,cw _zppacan (Please type or print and sign at bottom) ADDRESS ZONING(office use) l ( ,�g()l f 1X4 3: (L � E LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER i. (Name) f"&L-- (Phone)C _-, ,te -, (Address) /b.3": k)1 L ZQ -77(Z 1 L, 5-L- `f Le, Com- /1-4 ) ..--- -737,2_, APPLICANT � (Name) ) �'S^ 14'1 t j (Phone) 7,(L:3 `,'?X. )el 1� d} nn _ _ (Address) `' kv)NAJ1��,41-8,-_ i l� J 1. i �� (J 7 (A„.. ices�;, (City) (Zip Code) (Contact Person) _At, -- • . A' _ (Phone) ��,�j'cc� ���Li APPLICANT SIGNATURE i DATE '� APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION ,REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL L.Z 6 u,. • _ay N ^ ./ FUEL � ” FLUE 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 OC-ta,i ty 0 Hot Water ji Mechanical ❑Radiation into Required Side Yard Setbacks. '(_jAir Conditioning 0 Special Devices Fireplaces with Box Additions or ❑Pett.System ❑Other Devices Cantilevers to the Outside of Buildings Require a Building Permit. FIREPLACE MAKEAND MODEL FEE SCHEDULE Industrial.Commercial&Multi-Family 1%of job cost Residential.Gas Fireplace $49.50 549.50 minimum Resi`d tilm. l. eating& -C�; ew-tstn . n) 5149.50 Residential.Additions&Alterations $49.50 Resit ental.Heating * y(. e onstruction) 564.50 Residential.AC Only 549.50 Estimated Cost$ Building Permit # HEATING PERMIT FEE S P )O si— STATE SURCHARGE S 1.0014 ' TOTAL PERMIT FEE :L___---- —___- -2--------------- (Office 1_"se Only) This Application Becomes Your Building Permit When Approve l 'a_ ` _ V----- eipt No. 4/p7� Date l. i¶D By p��"„ i$uilding Official Date 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372