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HomeMy WebLinkAboutPLMBG 07-0042 e or lint and sign at bottom) D~te Rec'd l. 2-4-. c( ~ ~~::~ ~~:,cv I PERMIT N('.')'''':'-07'-. 004 7'J J YC"lInw Applic;lIll . . ~ r1o.J...-t4. . J:Z~I. [ ZONING (0." .,] ~ i'ftv, %j-\..J f2A__ p~~:,~. f-s~ :JO - imfi'9Q!~la~ ~ "",,'z. ~ 1- /3 Z b Ne ,_ OT~ 5'5330 (City) (Zip Code) , (Phone):Jfg 3 - Z 4/- 132-0 . c-:c--__J1!.{\-!:Ep' ~/go /0 ~ . I /7& 97 i/t17V~ Witt' I LEG^. i:1}ESCRlI'T10N (omcr"~ "Iy) LOT BLOCK ADDITION OWNER (Name) f! tJ (., -re: lid,! 65 (Address) APPLICAl)t.1 / f<'mir~) f'It()r.vc~~I4""f>sc,,"pe S' \~1lti~~~s) ~ZZ.l D,.~\.tv()oD A-vO\U~ (Address) [IIl1:!niaa;:!'~on);;::/Z..1 c ~ ;'A;~PL1(1A:fJ'1<:~t~~mffBl (Phone) ___u_ ----1 .J Quantity APPLICANT PLEASE COMFLETE BELOW -~.__..- Qua~tity Type of Fixture Type of Fixture -Hath Tub with or without shower ---- Tlishwasher Floor Drain ------Tavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks I~;lr Sink Water Closet (Toild) FEE SCHEDUU' Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE L Rough-ins Water I'leater Water Softner Stand Pipe (Washing Machine) Sew~ge Ejector Backflow Assembly Backnow Asselnbly T \' Lawn Sprinkler ---, --. -- -rn.'h. ~er Residential, New One & Two-Family $9950 Rcsidcntial. Additions & Altcrations Buildil,k; Permit # . · n I~ fJ ~I'( 31. 50 l .50 $-= ?fO ~OO iFnid 4-0. D 0 [(~ate (. Z5. 0 Receipt No. 52-838J 24 hour nolice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714