HomeMy WebLinkAboutPLUMBING 08-0159
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue File
2. Gold City
3. Yellow Applicant
PERMIT NO. 0 y, 0 ~
ZONING (office use)
ADDRESS / .I J_ ~ /I,' ) - ~.-
/'6l.PCf / t^-"'t / fc/ru:: / / LA rC- ~ .-:::>C
LEGAL DESCRIPTION (office use only)
PID
LOT BLOCK
ADDmON
APPLICANT SIGNATURE
(phone) 9Sfic/~7-CJ7'/L)
SS-:S -1?-.
~'::R ,Jontll-han SJJI-l--l1
(Address) /5ZP17 /4/ fC' I {] i ~(! tI!/ S t~
APPLlCANJ7 I /I' / 7) .
(Name) CA;h-r/tt;{:'r Y1'r LnL'
(Address) / 72 &() /!ftfJI? /L-JZ,U7 I:}-l
(Address)
(Contact Person) SL:
DATE
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ / (JOD , (;h.)
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
~Lj7s-D
.50
~ 0 . c;.-z::> ....
Date
Paid 60- (/()
Dat~,,'i,vf
ei tNo. 5~(,J
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BulldinR Oftkial
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372