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Mech Permit 02-0819
U~/lB/Ul IU~ 11:18 FAX 6124474245 CITY OF PRIOR LAKE ~ .: '\~7f~ .. .'.\ .;. \';ll. i OF PRIOR LAKE BEATING/AIR CONDlll0NlNGIFIREPLACE PPMIT .... Dace Beet, ~tvp: or1Jdlllm4.M1laaaID.\ ~:LI:AESS -.-:3;71 z:r) \ 1'""\ I'\Tv--i \}I 1 r k- D~ ~ V t=' - i=. ~ .~.~O.O~-"::tf/2J ~ZtD- LEGAL DESCRu .L.tON (oIkc1lleoalJ) ,.d- LOT/bBLOCK / ADJJ~uON !//flctJ ~ .. prr:;)S-33j- 01 t,-:.~ OWNER. (Name) (\ [.., I A.r JL ~ J. ') \ ~~ (,Addtas) S:;1 gj '\ J J r)( ')d ~L.k-. Dr-. , . ~~o !~:;L...~ (M6I:ess) (ContacX L.........) "5:::Lr' ~ /') ~ . APPUCANTSlGNATURB A~~cE7J;. (,l'boDe; .. . O'F:J..' "/i'::~lB:::;:;S;::.;;;;;a :'~, ';.,' ~ (PboDe) -'::'('-7~H.-:" '... .4~~:..I'-'rl' ',: , , I, ' , ".', ( " ',;:. ".' , t.. , 'Pn~' '~~~a- (Cily) : (Zip Code) . (PboDe) : CP-I--D- .s~ ,c)- OATS' t; 7 ~;/~' / . APPLICANT PLEASE COMP~.I!. BELQW (]NEW CONST.R.UC.&l/...~1 0 ~CEMEJIn' fZiI ALlERATlONS ; F'tJRNACE MAKE AND MODBL ..veL fLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF S\ .)J.~ . . ~_ Ail'PIaoIs ny Mech8ical . Vcat.~""" BEATING 01. ~ '...' ":.:.M. PLANT ~s.u HotW_ ~ ~~,w PI"~ NOTE: . Air o.iI..... Units 'ca.at~iDto' bqDiNdSide Yd SedMKb r","&..ACE MAKE AND MODEL ~~ C)8}s, U"-ne- to Cft~~~I'(1 Industrial, Commerc:i81 & Multl-Family 1% of job cost ltesi .\.,,:, Jl. Gat Fircp~.. $39.50 naiaimum . -,..- ~ ' ~ :Headns & AlC (New C~) 599.50 IWidenlial. Additions a A1bIntiou Residential, HIIIiDI Only (New ConstnICIion) $64.50 , RcsicJcIltial. A<; Only " $39.50 ' $39.50 S39.50 \.. , , E.uimlll2d Cost $ ButldiDs Permk # HEATING l"'rd.\MlT F'EB STATE SUR.CHAR.GE ' 'IOTAL P.I.IIMft' ~..... s s s 3q,~o .50 Cj()_ !JV- (OIIlce VIe o.IJ) TIt. AppIicaIiOIl BecoIUS Yoer a..... Pend WIleD A.....ClI.ed .:""~~. ..... 0IIcW .. ~~D,OO Date 7 v t:.. -08 ~~~'7 By , ~ Z4 !loal' aotict for .n iupectioDl <'52) 44'-8158. fa (951) 447..u..s . >IOR LAKE TION NOTICE OAP T?-~ ADDRESS 7 l~~2 ~~SO WO~ D~ SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. ;;2-8Iq o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILLlNG o COMPLAINT N FIREPLACE RI ~ .fIREPLACE FINAL ~~'f1E AIR TST COMMENTS: ~ n C( c/) ./"""" ~ORK SATISFACTOt' PROCEED o CORRECT ACTION A PROCEED o CORRECT~ C .LL FOR RE,INSPECTION BEFORE COVERING Inspector: ~ ~ t" J '_ Owner/Contr: '-' ~ CALL 447-9850 FOR THE NEtT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FbR YOUR PERSONAL HEALTH & SAFETYI INSNOTl