Loading...
HomeMy WebLinkAboutPLMBG 06-0813 TlIIS FILE ~ CLOSED ~ BEEN ~ INACTnn-rr-~ ~ TO _ <; I\_~ .. '1 r 4/18/2008 ~NES~ Date Rec'd RIOR LAKE PLUMBING PERMIT 9~ 5" O~ EST FOR FINAL l1'1~L ~CTION SENT TO HOMEOWNER 10-06 File City )w Applicant I PERMITNO'~,.O~/31 ADDRESS lLi 1'45 ~ Au::. f'0E ZONING (office use) c.::533f)@ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name)=-t-<.-;S-t:y r-=\'-rlC\ h I (Address) (~ (Phone) ~Ll5:'-9gc;.>8' APPLICANT (Name) CUlliGAN WATER CONDIT'ONING 6030 CULUGAN WAY MINNETONKA. MN 55345 ~ts~ 933-7200 (Phone) (Address) (City) (Zip Code) (Contact Person) APPLICANT PLEASE COMPLE APPLICANT SIGNA TV 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 (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 $ ~<;x:) Building Permit # (Office lJse Only) PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ 3=1. fX) .50 LtJ. (J() Buildinl: Official Date Paid 4-0. () 0 Date 9. s:, (/ (, This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714