HomeMy WebLinkAboutPLMBG 06-0740
THIS FILE I-lAS BEEN
CLOSED DUE TO
~~N:CTIVITY 4/18/2008 IR LAKE PLUMBING PERMIT
\U L~ l~
4;/NNESo~~ REQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
Date Rec'd
8./~. ()&
File
City
Applicant
I PERMITNO.O~. 01~
ZONING (office
use)
5'52-L{ C
l' I
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID z..5. oz. 7. 0
o
OWNER
(Name)
(Phone)
(Address)
APPLICANT , ~1
(Name) '";1(x <; _ \ l1m b~ 1\(".
(Address)1-331S D'(G~ S~+
(Address)
, (Contact Person) ----t) ~ CG blvr
I APPLICANTSIGNATUR / . ~D.
(Phone) (l...o ~ - y ')-7- 7 \ ~ L
NL0~+\FVUvt(l\ 55070
(City) M n-J (Zip Code)
(Phone) (lo3'- L-t2- 7 -' 7 t'3 d
DATE --BJ /41 DO
OMPLETE BELOW
Quantit e of Fixture
Sinks
Bar Sink
Water Closet
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ .3')aJ..-CXJ Building Permit #
PLUMBING PERMIT FEE $ 3q. 50
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $-00,00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
Paid +0.00
Date 8./(,.0(,
Receipt No. 5~2-z..
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714