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PLMBG 06-0672
>oi~~ ~ \~O~ ~ \R' " Ur cc 1 Ur '.H'.o /~(//!!l\ \~C\cFJV CITY OF PRIOR tAKE:, PLU~1BING PERlVIIT I G / I \) ; I 01\ \ \~J~ J (Y ..~ - ~/ ""-!~~:~~-~'~ -:4-:,::..,'4.::4 )';-+.::'--4'. '--.;'::.!j, 1,,'1 Date Rec'd I niu.e ~ (jc)d ~ Yd!O\lr ~iJ~ I PE~~I~~~~:Q~-~-'h-1~ ell)' Applit,N \.Pk~e_9.~jlTj:['L~~~_llcl22~<?:1.lL i-ADDRESS d L_______. ~- q /~._______._cJ,'i{_~ sA-V{ fL.fJ !ZONING (()ffic~~~ : i i I L_~_ ..1 :LEGALDES(~Rip-i;iON-(~:ffi~e u,e 0/11;;--~~~..-m..-...m.. - . H_' ..-.~--- ;1-"'-" ..--..--...-- "1 _ L .Lo.T LIl~'2c!: lJ ADDITJO<<~f!..-~~ . ~..!~rJd2:.:3~0' O(~j:) ! ~~;~~.__~(f!?f#!.i_~~Kc 1/, &~.~~_'____.._.._.___ (p\:n~~~'---=.::~--'--~'''-1 I I I U~:.<!:!.~~~L.....__.._____.. 1""_' .. . - . --- ---- -' -..- u. n. ..--_,__. ..__......_H.........._.. -.--...---.... --., :~;~~~;~ _:kJ1j{tP_r1~..__.1h (}fA1t1 ( ~_..__ _ __ _ ....__ (Phone) 5SZ:...=.!I!.t.....=~_~~._ I I (Address) f. D .11r2.L'2L?:'__I_CflllJ1U fJ 55r..VJ LtY.~.:.....~~~ /7 I I (Address) (City) (ZIp Code) I ! (Con",c, Pmon) ._".-:l2~~..-_...._.- (Phone) ^.... :s.~...:._. ..._..". I i ..'\.~~.~1S'~~~. $IGN~!..y'~~_~c.:..::_:..:- __.n_~~:_PA TE 1I1....._=_?:_!ol.;;;..~~-.--~j APPLICANT PLEASE COMPLETE BELO\V f..--g~~~ti'I"--+~~I~.~~};-:i~I;:~rf~~~~~~er---""- ..............; Q~~-l~~=..~T;o~g !)'=1n~' Typ~ of Fi_X~~~~..=~=.~.:-.=~ r--.--.---.---.-r ~!~~;~~:~: --' .~~====.-...~-.==~.----....- j ::~~:~~~r . --.- --=-.=-=:1 ~.__._.n__._. -l~.:~~~~E~~a~;~;f~~~artn'ent <~:~._--1.===.=~===.=~=t~~~~I~~~~sh.lni.Machlney-...~--~ ~~~~.~~-1{~~:~~"'" o. -~=~~~~~~~=t=_:=ili~;~f~~t;;~:~ T~" ""~.:==--J I ...J- Bar Sink ' / i Law!" Sprinkler ..J .====.~_=_==_.J~W~!.:~. c ~set (T oj iet )..--..----.---.~-t- _...Jm~?~l_~~! _. ...----..---"" I F'EF.: SCHED1JLE InduSlrill!. Ci)mmercial & Multi-family I % of job cost with a $39,50 minimum RC";ldential. )'.;cw One & Two.family $99.50 Residential, f-\dditicas & :\1terat~or;~ 539,50 .~ , F~timated Cost S _....5..QC?_._. Building Permit :f ~.. PLUMBING PERMIT FEE STATE SURCHARGE TOTAl, PER..l\fIT FEE $ $ ~....___.~....:.-iQ $ ~Q '/ ,.. . _ .. n____.__ (Offitt Us\' Only) rThi~-.;,-~;;'ii~;;iQI1 Re..om~s YO~;-B~'ild~;-P~;~i~-When Approved ! i .... .. ..--....---..-..--. i Date I ."..~________--.J Bulldin~ Offlci,,1 r--"---"'--" i Paid L/6 _-- l-.--- . -_ .r Date ~ 'J ;;:x; L..- J..'::____..__ - Rec~if' c; '~-cY;-~--j I ( . .1 24 hour notice fol' aU inspection~ (952) ~47....98S0, !ft~ (952) !4"L.:.12'!5 '6200 Esgle Creek Ave., S.E., Prior Lake, MN 553i2.17J4 l'.UTi-~L p. C.:.~_~ Ti!l ";:)\-'="11[71"': I,ir::rl cn'::'cpr,1 rr,.