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HomeMy WebLinkAboutPLMBG 06-1038 07/.30,02 TUE 10:46 FAX 612441424~ CITY OF PRIOR LAKE [lZj 001 ---- Date Rec'd C:::f""'Illt-h ~:;1 ~:imII I'ERMIT NO.{)V ( oJ ~ l toNnro_., j ~ms-"':M~~ r 1..L Y 11 1 LEGAL PBSCIUPTION (ofti~ \1M oaIy) i LOT BLOCK ADDITION PlD </> 3~~ 0/" oWNER. (Name) Prior Lake Bait & Tackle (phone) 952-44 7 -60g6 15760 Hw uth APPLICANT (Name) (Address) EcoWater Systems [.le;; LJ. u gUY Lll Hc1 Ll;;:J. Cuml (Phone) 9 ? 2 4 4 7 21 G Q 1;<<3 16Qtn st SE (Address) Prior I~k9 WW ~5A72 (City) , (Zlp Code) (ContaCt Per.on) ~"teYe ijolu~_eidor (phone) g ~? 4 4 7 ? 1 h n APPLICANT SIGNATURE DATE FEE SCHEDULE Industria1. CommctCial & Multi-family 1 % of Job cost with a S39.50 minimum Estimated Cost S ."3 r; g ~ Residential, No..... One" Two-Fnily $99.'0 P.ii14entia1, Additions &. Alterations $39.'0 Bui1dinl Permit # PLUMBING PEllMIT FEE S 'sTATE SURCHARGE $ TOTAL PERMIT FEE $ 3 y. !?Fu {.. .50. 16..-- 14 ho.r noiice for alllaaptd50lll (951) 447-9850. fu (952) "'7-4145 5:>