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HomeMy WebLinkAboutMechanical Permit 15. 0761 kI i / o cel-- ■ 1 w w _ ��22§ o § oorecc■ o 5� �X0 4 > J / re ❑ ooO \ 11, k o ' 0 7 k a _ =z < li § z �1 r c. K IQ § e z o/� � . ' z _ � 3 c O o < 2 0 k 0 w CO CC z o U k0I&03 b © a B ! a ■ » � a� 0 0 2 / z / il cOOOOO ill g 00C1'- 0 2 z i' IU a a 0 x k z SC a & § ■ $2 z 2 I- z ° I $ ■ § w CO 2 k �� 2 2 z - 2 ■ © f $ o � wza _ < t t a 2 $ 2 co o n 2 § 0 X22■22 Y ■ cc L .4 � « 0 a OO000O 0 o2 2 . ° 2 O O 2 ot PItIp IL: hi �- �• '� CITY OF PRIOR t` ,. n LAKE ice` HEATING/AIR CONDITIONING/FIREPLACE Date Recd `i . ACE PERMI 4ffA'NESolP 7 /, 15- I.Pink Fite (Please type or print and sign at bottom) 2.Green c;ty PERMIT NO. /5: 017 .01 ---`--t ADDRESS 3.Yellow Applicant �( l �� "v 1117r ZONING(office use ( v. . ) LEGAL DESCRIPTION(office use only) At LOT 7 BLOCK / ADDITION 4j6s40 / ��� �i j5 AID OWNER \ 4,5---, "' (Name) 0 4.111Y Al t .A. DD _ Address (Phone) < 2 99 - 46?) APPLIC. t , r ,S (Name) CI (Address) • 041 1)3 (Phone — (Contact Person) ! f ..n �' y - - i 1 1 V��,. ,A � . 3 ., APPLICANT SIGNATURE (Phone) r 10-1. r ......- DATE R Ne APPLICANT PLEASE COMPLETE BELOW ONEW CONSTRUCTION FURNACE-MAKE AND MODEL ` t'A REPLACEMENT FLUE SIZE a 0 ; b i`2 ALTERATIONS RETURN OPENINGS________INPUT FUEL TYPE OF SYSTEM PUT ��o 1]L� OUTPUT QWaAir Plants HEATING OR POWER PLANT ❑Gravity QSteatn PLEASE NOTE:Air Conditioner tQ�1Vlechanical QHot Water Units and Fireplaces Cannot Encroach . e Conditioning 11l, �� QRadiation into Required Side Yard Setbacks. ❑Vent. System '�$ QSPecial Devices Fireplaces with Box Additions or FIREPLACE MAKE era) D �QOther Devices Cantilevers to the Outside of Buildings AND MODEL Require a Building Permit. Industrial,Commercial&Multi Family FEE SCHEDULE Residential,Heating&AIC l%of jcosResidential,Gas Fireplace Residential,Heating Only (New Construction $49.50 mobinimtum $49.50 (New Construction) $64 50$149.50 Residential,Additions&Alterations $49.50 Cost$ Building Permit#Residential,AC Only $49.50 HEATING PERMIT FEE $ STATE SURCHARGE $ 5.00 TOTAL PERMIT FEE $ it This Application Becomes Your Building Permit When Approved Building Off eial DReceipt No. ate . i Date $ 41111 Y 24 hour notice for all inspections(952)447-9850 ,4646 Dakota Street S.E.,Prior Lake,Minnesota 55372