HomeMy WebLinkAboutPLMBG 06-0529
Date Rec'd
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1. Blue File
2. Gold City
3. Yellow AppIicmt
I PERMIT NOtJ0 ,- 5 d{7
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ZONING (office
use)
LEGAL DESCRIPTION (office use only)
WT 0 BLOCK I AoomON
OWNER Z
(Name) 1"1..
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1st-
(Phone) qs-z- z Z{P - S6"<i'g
(Address)
APPLICANT
(Name) t\ c:.-\JlJ\5 ~ E-~ b E-
(Address) lo' \..{ 5 @ ~ SW
(Address)
tJ~~\J\S
(phone)lP\d -80'-~loD
\-\Qt~ 55:15D
(City) (Zip Code)
(Contact Person)
(Phone)
e of Fixture
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 $ , oOQQ.. Building Pennit #
PLUMBING PERMIT FEE $ oq ,50
STATE SURCHARGE $ 0 .50
TOTAL PERMIT FEE $ Ll, 00
(0fIke Use Only)
This Application Becomes Your Building Permit When Approved
Paid
6/
10- lq - to
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BuIlcIia2 0ftidaI
Date
Date
24 hour notice for an iDspedions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., s.E., Prior Lake, MN 55372-1714