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HomeMy WebLinkAboutMechanical Permit 13. 0949 n 0 oOOOOO I o > (45 � -- 0 m ■ -■ o z m $ nq s . ■■� m iii a _ s m��s ■ ■ 0 2 \ o \ m 0 P . 70 2 2 K- . » Z o a . 0 b m ■ � -4 g z 0 : _ 1 4 2 a .q& 2 0 k , \ A. ` \ .� © 5 : 2 / § 3 OOOOOO • m 0 w $7 ■t \ \ m R R r / &2kis 0 n Xi to \ k �' \ \ � m=. q 0 - I mE0 \ • \ § - $ \ . �k o § % \ \ e ®. , \, r \ / $ 7 ` x ., ` o u q . N\OOOOOO $ , \ 2 q . @�§§ m • $ m �� & ggsg 73 c��m� • a e ` m 2% a ® t§ § 2 0 'S. \ j> \ q »a § m ■ k � , m 0 n n 00000o = 5 0 NmEllm0 Z m n0 r�i c 3° co m co .,i w cl * 1 , ' 3 z p co Om n 0 a 73 73 I �', � Z v S-° o z x4 CZ � t c ` N ; n � Z Z n b ' g n \ \ P ' Z m m p \ - Z -1 ill n o \ o 7o r k \ ❑0000° T o v k 1 m A 0 c Q i % Cm's rM>nc ,� n N � c m m \ =3 m = n 0o m O o x z o o k izii� Z m c m m -4 �` a 50 c 9 o 'V p Z r \. O \ ....t......1 O n � \i ` 00 \ x Z ` R Z ;o fli R ' k > _ mm .4 - D O r y 7 D .n a r r- m 'z7 Z \ -4 Z Z m m , � 0 \ \ C ♦ 1 s Of . PRIN CITY OF PRIOR LAKE Date Rec'd HEATING /AIR CONDITIONING/FIREPLACE PERMIT 36 , 3 1 1. Pink File M, PERMIT NO. NNEs0 � 2. Green City /3., 9 ^�' J `7 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) aa) Vil ( (0 W 13Ah :31 V acP )64b LEGAL DESCRIPTION (office use only) / ,' _ 4. LOT 1 BLOCK / ADDITION l 1 A 2 - / n/ PID ;?5- Mg!, 0 /Z- Q (NW e V 1e C1&ftJTd (Phone) - N7 5 (Address) Wi((OW ePadi mor lV 55372 (Nme) CANT Rons Mechanical j� (Phone) 952 - 445 -8585 (Address) !J0 1 b(4(�l1r, v c)k);C7 o. - .5 9 - 7q - 0 Linda .(Contact Person) (Phone) 952 - 445 -8585 APPLICANT SIGNATURE a,��L� �i DATE 8 -a S' E 1 APPLICANT PLEASE COMPLETE BELOW ❑NEW CONSTRUCTION REPLACEMENT ❑ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner ❑ Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach ❑ Gravity ❑ Hot Water into Required Side Yard Setbacks. ❑ Vechanical ❑ Radiation Fireplaces with Box Additions or Ld'Air Conditioning ❑ Special Devices Cantilevers to the Outside of Buildings ❑ Vent. System ❑ 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 $ Building Permit# HEATING PERMIT FEE $ t A" 1 -gp STATE SURCHARGE $ 5.00 1 TOTAL PERMIT FEE $ l. ' ) This Application Becomes Your Building Permi r hein Approved : 4 - `jb Receipt No,l�. q Af a l (3 Date � l( s..... Bui ing O 1 Date 5,50 k 3 By }}� 24 hour notice for all inspections (952) 447 -9850 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 -