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Mechanical Permit 15. 1109
zk ] ■ ■ ■ . k � � < ,. 2 � �� z $ \ aaa � k §k11kD §2 li ii ❑ o000 o d © 0 m w = „ ■ x . 0IL _ -I 6 § § S . L 6 o 0 ►..' e ■ §§ ■ � z 0. R § w k I- § 0 00 O0 -i 0 @ u K k k a ce coreccmcnu-� - § ° / \ 1 � _ U) 1 � Duw J ■ ® § § _J � � §� a � - § § § X k. /Q O Ook w , a a 2 w .."'-1el-I e w§ • 0 < k U z z a 0 0 0 j / \�. co k IQ ■§ or-22 § z 1.- A. _ co 2 zel ■ z w U) Q § IQ o8 w W z oma0zw . ce 0 & < o § § 2 22E ■ �■ 0 3 8 § ii () Q r) ■ « 0 a OQOOQO 0 xo0 / CITY OF PRIOR LAKE j y r o4rR '� Date Recd HEATING/AIR CONDITIONING/FIREPLACE PERMIT u t � i.Pink File PERMIT NO. -....;:tzN /5‘ J/r� \ ,NESOj 2.Green City 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) ADDRESS � v 6 4110 WINDSONG CIRCLE, PRIOR LAKE, MN 55372 LEGAL DESCRIPTION (office use only) LOT L BLOCK ADDITION PID p�, 2--. :7— / --0♦ 1Ar,l i,/ ur ' -=� OWNER (Phone) 612-860-1376 (Name) MIKE SCHILLER Address SAME APPLICANT AIR CONDITIONING & PLUMBING INC (Phone) 507-361-2332 (Name) K&S HEATING, (Address) 4205 HWY 14 W, ROCHESTER, MN 55901 (Phone)BROWN (Contact Person) ' g/1/15 1 • / RICK KEEHN DATE APPLICANT SIGNATURE l • APPLICANT PLEASE COMPLETE BELOW Furnace & Air Condtioner ❑NEW CONSTRUCTION �ALIERp'IIONS ❑REPLACEMENT FUEL NATURAL FURNACE MADE AND MODEL LENNOX/ SLP98UHV110 INPUT_______-OUTPUT FLUE SIZE RETURN OPENINGS A E r TYPE OF SYSTEM HEATING OR POWER PLANT LEA S Fireplaces Ais C nnitio Encroach ner ❑WaAir Plants ❑Steatll Un❑Hot Water into Required Side Yard Setbacks. ❑M Mechanical ❑Radiation Fireplaces with Box Additions or DAir Conditioning 0 Special Devices Mechanical Cantilevers to the Outside of Buildings DVent. 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 $4950 $149.50 Residential,Additions&Alterations $49.5 0 env Construction) $64,50 Residential,AC Only Residential,Heating&A/C(N Building Permit/4 Residential,Heating Only(New Construction)tCost$ HEATING PERMIT FEE $ 49.50 8 1.00 STATE SURCHARGE $ s o•S o 1 TOTAL PERMIT FEE $ , t Receipt No. r b � This Application Becomes Your Building Permit When Approved Paid By Date t'�1� i _Alli I Building Official Date 447-9850 24 hour notice for ail inspections(952) 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 1.