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Mechanical Permikt 14. 0748
n 000000 2 0 a ■0 J O § O ■ � ■"n2"0 08 ii § 0 24 n n kk2 m Z /Ek § 73 cil 0 U3 \1 § r . m m x Z �o� @ zo r q q - . —1 m - 3 Z ■ k k UI x / 2 X 0 2 2 OOQCO xi 1 411 0 X 2 § m � `�� �r ��� t�/ 2 � 0 k§22xiSE M 0 22 .� « § z ■ ■ z ■ z �! m § % m 6 0 l } . rm00 t ri p / < q § A m �� � P § % 2 R a \ \ s.X Di \ § OO �oOQ o % E 9 II ? iso§ . N § q 0 ■ Cm -Om© / Rs v © 1 < ;) . 41 z � � ammr- "� ■ ggz IL r OR LAKE_ Date Recd CITY OF PRI ,7. g /C °`` TR/oh HEATING/AIR CONDITIONING/FIREPLACE PERMIT H Cj PI 1.Pink File PERMIT NO. 2.Green City �INNEso�P 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS 0 O 6 (e_,,�' ?(151' LEGAL DESCRIPTION (office use only) 4 ex /-i, PID , 5-.- � -a��"Q LOT � BLOCK Z ADDITION W/ • f'--" (Phone) �l Ae"— IlD OWNER L,lN Ps (Name) 4 1 6 ,,�. Address 0 d , I APPLIC: � � 3 � • w (Name) _ ; L_.� , .. ►i. �' (Address) „, - (Phone)_g_124--'13-=---2----/ /- (Contact Person)J h. '' 'r'V'‘ 2 t / � DATE "a'� APPLICANT SIGNATURE -� APPLICANT PLEASE COMPLETE BELOW REPLACEMENT �S FLUE SIZE RETURN OPENINGS _____--INPUT CONSTRUCTION 0 ALTERATIONS � k� ��UEL U T 2 A/.1 - _I' g IA '' FURNACE MAKE AND MODE INPUT = ,,,t.„-;,„ O TYPE OF SYSTEM HEATING OR POWER PLANT PLEA SE FO eE:Air Cannot Conditioner Encroach 0 Warm Air Plants 0 Steam ❑Gravity ❑Hot Water into Required Side Yard Setbacks. ❑Radiation Fireplaces with Box Additions or �Mechamcal Cantilevers to the Outside of Buildings [�ir Conditioning ❑Special Devices 0 Vent. System ❑Other Devices Require a Building Permit. FIREPLACE MAKE AND MODEL FEE SCHEDULE $49.50 1%of job cost Residential,Gas.Fireplace Industrial,Commercial&Multi Family $49.50 minimum Residential,Heating&A/C(New Construction) $149.50 Residential,Additions&Alterations$64.50 Residential,AC Only $49.50 Residential,Heating Only(New Construction) Cost$ Building Perm' HEATING PERMITE $ r- �� V 1/ STATE SURCHARGE TOTAL PERMIT FEE $ ' 64, Application Becomes Your Building Permit When Approved Receipt Na 1 I 4. This gantanNv• By Building Official Date ' - 4024 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372