HomeMy WebLinkAboutPLMBG 06-0415
THIS FILE HAS BEEN
CITY OF PRIOR LAKl CLOSED DUE TO
INACTMTY 4/18/2008
REQUEST FOR FINJ.._
INSPECTION SENT TO
HOMEOWNER 10-06
Date Rec'd
~.:: ~!~. I PERMIT NO./V -) //51
3. Yellow Apphcant L/fI;;? I '
G330@
cJ ~ '!.-r Pill
I ZONlNG(_~) I
LEGAL DESCRIPTION (office use only) (\
LOT I C{ BLOCK ADDITION ~
~CL
3'6
C ~
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APPLICANT
(Name)
CULLIGAN WATER CONDITIONING
6030 CULLIGAN WAY
MINNETONKA. UN 55345
(Addre~~2) 933-7200
(Phone)
(Address)
(Contact Person)
(City)
(Phone)
(Zip Code)
APPLICANT SIGNA TV
DATE 5/O,/Qo
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLE E
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 $~O .CiO
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
2ftf.X)
.50
~(). <X.J
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave" S.E" Prior Lake, MN 55372-1714