HomeMy WebLinkAboutMech Permit 02-1373
CITY OF PRIOR LAKE
.tlEAlli~G/AIR CONDITI0NlNG/~lKEPLACE PERlVuT
3CJ.50
Date Rec' d
v
~::' ~:~" I. PERMIT NO./'11 _ /" 37-:::l
3. Vellow Applicant (/ t?\ -=1
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ADDRESS
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ZONING (office use)
K15f)
LEGAL DESCR1r nON (office use only)
LOT ,r BLOCK I ADDITION fJ Mo-v {/jjf
PID ,!:)S - /79 - 0 () ?-."O
(phone) q 5 ~ 3 Cf ~7 q <fer
sh CUJno n ~ hi I S'~
, ;
~~;~~ANT b)en? f2U1 Q..f\ (Pho~~JpS/-L(g3-IICfV
(Address) /4-/}L/ 5 SJ&hdf ! y / K()Se/notu!.J S~00cP'
(A"""") ~ (City) (Z;PCode)
(Contact Person) . ) ci../n e.-YO ma one) _
APPLICANTSIGNATURE (~ ~ /O-IS--O;;) .
(Address)
W I ~ f-y .e..e mafl
51I/G
OWNER
(Name)
APPLICANT PLli(~ COMPLETE BELOW
DNEW CONSTRUCTION /fSi REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL " Lerlr1{)x(;i"l/D Iifl 3/P B-t11DFUEL ~.~
FLUE SIZE RETURN OPENINGS INPUT cff)O 0 () OUTPUT ') ~ Jon
~EOFSYSnM HEATINGORPO~RPLANT
~ann Air Plants
; 5bravity
o Mechanical
OAir Conditioning
OVent. System
n Stell!ill
REQUEST FOR
SENT TO HOMEINSPECTION
RESPONSE OWNER. NO
4/2003 - CLOSE FILE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCI1EDULE .
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.~0
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
!
fn~ce Use Qnly)
Building Official
Date
Paid ~ 9- 50
Datio-/9_ OJ
I Rec~~OO
By (}{2/
V
':~is Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245