HomeMy WebLinkAboutPLMBG 06-0379
THIS FILE HAS BEEN
CLOSED DUE TO
CITY OF PR INACTIVITY 4/18/2008
REQUEST rvI\. r ll'\lAL
INSPECTION SENT TO
HOMEOWNER 10-06
I~;;:r/~:~~;bo_~ le~J~ Rt
Date Rec'd
:IT
I. Blue File
2. Gold City
3 Yellow Applicant
I PERMIT NO. Olo-037~
I
ZONING (office use)
se-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
LJh. \~tUe-y
/
(Phone) <>[0;).. ~447 ;;l.8"O? I
OWNE~
(Name) -e..
APPLICANT L.-- r 1_ C\
(Name)~(' uG\\ vvtu e Ll'e~ r-'lby TAlc,. (Phone) 00..... ~b (p~ r~
(Address)31r~ ~~NI\Jsvlu~.l\-tV~~ EA-5.J:W S"S-I0<3
(Address) f (et'ty) (Zip Code)
(Contact Person) [S. f.. [C .l3 e vck M vet k~< (Phone) fDS7 ;(;tb ~(b ?8
<\PPLlCANT SIGNATURE DATE ~s-: If.. 06
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher ~ Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ 39~S-O
$ .50
$ Lfo~O 0
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
~ ~ S/I~/{J6
Building Official Dat~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-17]4
Paid
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