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HomeMy WebLinkAboutPlumbing 03-0004 U~/Zl/Vl ~u~ v~.v. ..- . .I. J..LJ.Jo. V........... --- n Date Rec'd ;fff!Rl~ \~~; ~ ~";J I ~~ t.;I I' i OF PlUOR LAKE PLUMBING PEI{tYiIT ~: ~d ~:~ \ PERMlTNO.O. =>- /Y'){)tI / 3. YellOW Mpllunl ~ lI'-'" Y , ZONING (offie~ \lS~ KA \ (PI~m tvpe or Prill,\: !!~ ~ at bott01'I1L- . ADDRESS · _ L!ll)gq ~>>:lfJrJ LEGAL DBSC: lPTlON (office use only) " . LOT LLfaLC~.~:II: o\wDlTlON ~& : ( . -- In;. . OWNER . (Name). D Q.- ~ ,~~.(o'D _~J~Idcr. (Address) PID;?~- 3 go'#O ~rf-O . . ;hon.l !JSJ-1$- 7)./..\ Qh -t:....{OD lalv iK1J J J . -. t) -- Surae Water C,ondilionino (phonel . <l "'(U 12201 Minnetonka Blvd. ~\ ~ (Address) c _ _jll"","onI<a. IAN ~ f JI / . /l ~ontadl?e1'O" ~~!~ . <::l f /a~COdel . .rl?LICANT:\ GNA.-rmtjt'~.' ~. )/M~/ _ . - DA.TI'- '\ J_ /" /' APPfiCANTl'LEASE {OMPLo;.... BELOW lQ...nli'L-~ Type of Fbtilr. .! _qunlity \ TYpe.fm",tur. . Beth Tub with or without .hower IWugh-ln. ~ Dishwasher -WllterHeater :: Floor Drain r Wawr Softner LavalQrY (Bolliroom Sink) 'Stand Pipe (w ashing Machine) _' . Laundr)! Tray (1 or 2 compartment .ink S""'~ lljOQtor . : Shower Stall . - . B.ck!low As....bly . Sink. B..1clIow _bly.Test Bar Sink . LiiWr. Sprinkler .,. UWater Closet (Toi1~t) , Other -0' . IfU APPLICANT (NameL .l \ L. ---~'" . FEESCUEDULE lildw;tli~l. COlli nercial & M.ulti-family l%ofjob cost with It $39.50 minimum . Residential, NeW One &:. Two-F8ll\ily S99.50 Residential, Additions &:. Altcration$ S39.50 Estimated Cost $ Building Permjt # - PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTALr~~TFEE $ '3 q:)V_ I I,.r: .50 ~jJ() . ! ".~" ..----- .,~.__...........-- 1'!l!!~I!. g ocncl91 --' 24l\o\\r notice for aU inspections (952) 447.9850. fax (951) 447-4245 - Da~ -Paid flC; po Date /-/-0'5-. \ Receipt No.-.", I 'i ;~ /) crt By Qe/ u ~ !.~'...~'.--:. ~J:::. of....~it;:). ['.~,;;.~;7\;;;: Ion Beeo"''' Your B.Uding Penult Whe. Approved