HomeMy WebLinkAboutPlumbing 08-0322
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~.~~~~ ~:~y I PERMIT NO. /)8',07") 71
3. Yellow Applicant , V:"':> '-- ~
2 WS- Sf-ot1..ec /-eJ1- r~ t-~ {\J
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
f)<n
f/v'(~,rr
(Phone)
C (2 - S f6 - V~" y
,
(Address)
APPLICANT
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNA TV
DATE
~-3.-{)1
Quanti
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quanti
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink
Laund Tra 1 or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet
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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~5()
.50
~z:;o, 0? )
gz3L
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Build!n!! Official
Date
Paid ~ () ~ e,n.)
Date (;, . 7. 6 .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372