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HomeMy WebLinkAboutMechanical Permit 14. 0352 0 n OXccO0 "0 0 > E 2 n n * . 0 co"n 0 D SC � k > n kk k \ in D zrrak § ■ cn �� tti t § § > ` Z $ KBgQ P �k k t 2 . m 2 § o o ? %- om m % o > z k k ' 0 3 k 0 = \ 8 8m .� ,� On ❑ c ❑ O .N m xi 1 ■ � ■ ■ ■ -0 c § c \ � � � x § ■ m \ § m 0 0 § '8 to m § z ■ § x z X § _ \ k \► r -n § § xi m o Z ► zcc z I r C:0 .?..: m \ TI "0 P mr 2 ■ o I m 2 © 0 o 000000 Qf � § M . m R. D k � 13 '013 § 41 z ri P ) » n © ■ m % rn remm ® � 2 w - m -Ir 0 W til� 11-P)C‘ I e , ._,J =S—i)-- -3-- ,---C-3 4 rnrp CITY OF PRIOR LAKE Date Rec'd 4 41 ‹ HEATING/AIR CONDITIONING/FIREPLACE PERMIT I.PIS File PERMIT NO. y 40hNESoil` 2.Green City /9 �./'y 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) E 1 (1 (1°1 VNJf PVL L LEGAL DESCRIPTION(office use only) ) LOT BLOCK ADDITION PID OWNER (Name) L, Al.6L\ V\A-C S (Phone) (Address) APPLIC. T T . (Name) ' O . 116.CIL • 1 R.e `` II(Phone) G S - I °IGD V (Address) LA G`, Uti kiAj 61_(1 . Vt V L �\CVL k bye �i 1�. W" NlK\ 5 5 I L O (Contact Person) ;1 L • I. It A (Phone) /n r APPLICANT SIGNATUR ,' • a ',C>, ,j DATE - I C- I/11 APPLICANT PLEASE COMPLETE BELOW ['NEW CONSTRUCTION [REPLACEMENT ❑ALTERATIONS N FURNACE MAKE AND MODEL I;4 a vtit ftivl ei k%S C� i u 3 b x FUEL FLUE SIZE RETUR OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner ❑Warm Air Plants ❑Steam Units and Fireplaces Cannot Encroach • Gravity DHot Water into Required Side Yard Setbacks. Mechanical El Radiation Fireplaces with Box Additions or Air Conditioning l❑Special Devices Cantilevers to the Outside of Buildings L ( ❑Vent. System Other Devices I Require a Building Permit. I I 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) 1 t$6�4.50 Residential,AC Only $49.50 Cost$ 4' . 50 Building Permit# HEATING PERMIT FEE $ IAL't S D f� STATE SURCHARGE $ Si% 5 V TOTAL PERMIT FEE $ : , S ' This Application Becomes Your Building Permit When Approved Paid t i 5 Z� Receipt No. • /2 J I Date / / 1i/ By LT; 1 Building Official Date / Tl/ C.- .r,,. 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372