HomeMy WebLinkAboutPLMBG 06-0531
~ A Q. ~f
~'
~O~~CPCITY OF PRIOR LAKE PLUMBING PERMIT
C/.>.. ~ ~~
Date Rec'd
I ~~~; print and sign at bottom)
(5)5" r~I'tA(!~ ~/
LEGAL DESCRIPTION (office use only) J
LO-r-3 BLOCK :) ADDmON 0i~
~~~nr7/:5 Jal1~
I. Blue rUe
2. Gold city
3. Yellow Applicant
I PERMITNOV~_53) I
I
ZONING (office
use)
-0
(phone) 9S2..ZZLP -1310
(Address)
~
APPLICANT
(Name) t\~\J\.J\5 \)J E-\\bE-
(Address) lo \4 5@ ~ SW
(Address)
tJ{;.\.J ~ \5
(Phone) lD \d - 80' - 5C} to 0
\-\Qt~ 5535D
(City) (Zip Code)
(Contact Person)
(Phone)
e of Fixture
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 $ , ~OQQ.. Building Pennit #
PLUMBING PERMIT FEE $ oq ,50
STATE SURCHARGE $ 0 .50
TOTAL PERMIT FEE $ 4.00
(Office Use only)
This Application Becomes Your BuDding Permit When Approved
Paid
Receipt N~I r; t.;3
BlIllcIiB2 0ffidaI
Date
Date
24 hour notice for aU inspections (952) 447-9858, fax (952) 447-4245
16200 Eagle Creek Ave., 8.E., Prior Lake, MN 55372-1714
._'~"'-'-'-"'"""'~""~~"~~~-~",,"--'--~~,'-~.,--,-'-~"'~-_'~,,,..,..,,_.,>, '~....._-,--_..............~~""--,------_........,.-