HomeMy WebLinkAboutPLMBG 05-0112
THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVITY 4/18/2008
Date Rec'd
~
, OF PRIOR LAKE PLUMBING PERMIT
lliQUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 01-06
z.. ". oS-
./
~~~ I PERMIT NO. 0.5. ~ II z..1
1/ Applicant , ,
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT BLOCK (, ADDITION f
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3'15. az 3. 6
PID25.
IOWNE= I'
(Name) .~ ~ Q Lt eb
(Address) FJrs ~ >e.
~~~~
APPLICANT
(Name)
CULLIGAN WATER CONDITIONING
6030 CULLIGAN WAY
MINNETONKA, MN 55345
(A~i2) 933-1200
(Phone)
(Address)
APPLICANT PLEASE COMPL
Quantity Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2
Shower Stall REQUEST FOR FINAL
Sinks. INSPECTION SENT TO
Bar Smk
Water Closet (Toilet) HOMEOWNER 10-06
(City)
(Phone)
(Zip Code)
(Contact Person)
APPLICANT SIGNA TV
DATE 1- ;;)I)-CB
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
',ewage Ejector
lackflow Assembly
;ackflow Assembly Test
,awn Sprinkler
Ither
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
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Estimated Cost .
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
'-~ .C:XJ
Li .50
O,OD
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid 1--0 ' DO
Datez, 10, 05'"'
Receipt No. &Ig (p qO
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