HomeMy WebLinkAboutHeating Permit 07-0593
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~~;y I PERMIT NO. 07 0 co :>1
3. Yellow Apphcant ' ...,.) L ~ .
ZONING (office use)
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,iP~! C{f:..? A/f',ef' /174
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tu ()O to
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
O~ER /
(Name) /17; ;'Jcte
(Address) J! 8{P w',:,0J:1
APPLICANT
(Name) ~~4L
eel?'? Fc;;?:,/
/lrJ/C=- ~
(Address)
(Contact Person)
PID Z:;
(Phone) (10 7'L/c - 4j7( 7
'v-(?"/# S-5?J72.
(Phone)
.. /.. /
/I/e~
E7? 3) %-3 -'~s<)05-
/~v 7"S-~/1-
(Zip Code)
f:?S-C )-
~
07
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
OjAechanical
~ir Conditioning
DVent. System
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
Residential. Heating & AIC (New Construction)
Residential. Heating Only (New Construction)
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Estimated Cost $ '/ ;J 0 1, fi2 Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
"'his Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$
$
$
3?:-~
.50
-'(e,_T
Paid A.-/j / I )
,l" l.- <-
Date_]. I J- () 7
Receigt No. 54-2-03
B