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Home My WebLink AboutPlumbing 03-0003 U~/~l/V~ LUM VV.v' .I.~~~ v..._...-. --- (c..Oi YRl~ (i7~..., ~.~~I ~-;V \;11' i OF PRIOR LAKE PLUMBING PERMIT . . CLOSED WITH SF BUILDING PERMIT Date Rec'd I. DIu" file ~PE""'''.Y''I'T NO 15 1. Gald City LUU.I. Jl. . 6 -3 - tX:X) 3. YelloW AppllWlI____ - - - . ' (PIl!asc Nl'e or prilll : ~jjl';1l11t bonoml.. ADDRESS LEGAL D:E.SC' tpTION (office use only) . ~ . , . ~ LOT rsJlLO~:K ?-.. ADD!!1ON UJ~& t?- ~~R '-0 r<- . ~ . . . (phone) (Ad~") _. ~J2 ~ <DO {{ .vu0'dc.y J~/t:.~ rD APPLICANT S (Name)_. urAe W~er CQRsitionin \ 1~1 Mlnnetonka Blvd Y :. ___---- MW"btoqka, MN 5~u~' , . (~dd:ress) 952- 8-1880 ~Qntact Pel'SOl~ _ ~ J.) 0 '. ("'-.. ( L:.J?PLlCANT:'\:' GNA'1'URE d- Qnanti~ -yypeofFnfure -=--~ B$.th Tub with or without shower : Dishwasher :,' floor Drain \ La\'atQl)' (Bathroom Sink) 'Laundry fray (1 Qr 2 compartment sink : ' Shower StaU .---- - . . Sinks \ Bar Sink L.--...~----" .Water Closet (Toilet) - (Address) /7 ;)-?r5 . (Phone) (City) C" (Phone) DATE APPLICANT l'LEA.sE COMPLEut BELOW Qnantit,t -- _I \ - r zo~,,,~i' -' PID~ 5- 380-03j-() - ' QS2-.qlf5 .1~ 72... La~OM1JJ - (Zip Code) (\ 2- 11/ If) ~ -- FEESClIEDULE lilGW;tlil.'.l. COlli nerclal &. Multi-family 1% ofjob cost with a $39.50 minimum Residential, NeW One &. Two.1?&mi1y $99.50 Residential, Additions &. Altcration$ S39.50 Estimated Cost $ Building PerID}t ## - PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL J: ~rovllT FEE 5: ~Cf 70 - .50 '{('\ ~ Dalt! r Paid (~qd 40, ./ l5RtC ! /):)... /- "'UV I ' . .. !---;:;,-;;';-;i~;:;;- Ion Beto",e. Your B.Uding p.....ll When Approved r.~'...~':'-:, :J:~ -r>.;ty). i ...... ..__--- .~.4_--...- ruU~'!; I:. OCl1cl:ll ~ 241\O"r notice for an inspections (951) 447.9850. fax (951) 447-4245 I Receti~'?a- ) BY~ v ..,.