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HomeMy WebLinkAboutMechanical Permit 16. 0205 5 § 0 051, n 000000 li 0 a E0 2 a 0 ' k k 0 �kkBkk o/ k � \ . co -I > 0 0 0 \ to j k § k© cnz z o§_ / $ 0 — m$ k m 0 rk% m % o z 2 . % z o o z 0000 ❑ O 0 \ 2 § 0 mr �> mr | . z &� X & §m }& ; R § \ \t il _ m ■ 13 § m o 0 m zzzz z ■ z z.., x q _J § \ 0 § ...1 r, m \ � $ § z m % o x ■ c m 2 $ DOOQO N R. B s �2§ ', / § § -0 -0mp 6 sss � 4 R » mm % r � � m r �� z m -1r 0 o. PR.44 - CITY OF PRIOR LAKE Date Rec'd �. HEATING/AIR CONDITIONING/FIREPLACE PERMIT 5,2, ((�.XJ U `1INNEsolt' t.Pink Fite PERMIT NO. 2.Green App ` 0205 3.Yellow Applicant 1(0i (Pleasetype or print and sign at bottom) ADDRESS ZONI G( ce use) ISLC6146)0A061°Ck ti(i LEGAL DESCRIPTION(office use only) LOT 5h3LOCK ( ADDITION VIC[ atad.5 kid it ,, PID (A - 331•GM' 0 � . OWNER (Name) ' .`2� 14C (Phone) q5. "-'2427/5"6 7 (Address) 1 5 ' 600/ d o .L. Ah.)--) - APPLICANT (Name) `,�,� �. (Phone) Q 52-7-0 7-6(% (Address) O ttoi . �t e 0.4i (Contact Person) P'l ?C.a-212$&'\ (Phone) 6-41W1‘e APPLICANT SIGNATURE 1-4A4AA.,'°r DATE 3".-1 //A `�c APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION .gE$EPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUE FLUE SIZE 4+ 6/IS-RETURN OPENINGS INPUT 1060 OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants 0 Steam Units and Fireplaces Cannot Encroach ❑Gravityotter into Re uired Side Yard Setbacks. ❑Mechaical ❑Radiataon q Fireplaces with Box Additions or Air Conditioning ❑Special Devices Cantilevers to the Outside of Buildings ❑Vent. System 0 Other Devices 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 $49.50 Cost$ Build' . Permit# HEATING PERMIT FEE $ ' 1.5) STATE SURCHARGE $ .00 TOTAL PERMIT FEE $ • '"TE This Application Becomes Your Building Permit When Approved Paid clo,5 Receipt N . 20 Building Official Date Date I, i( By k 24 hour notice for all inspections(952)447-9850.1 P 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372