HomeMy WebLinkAboutPlumbing 08-0544
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
~~I~
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO.oe.0 _5#
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
APPLICANT
APPLICANT SIGNATURE
I
(phone) ~44l- (Q qr.o 71
(Phone)
(Phone)
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quantit
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato T Bathroom Sink
Laund Tra (1 or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet
Quanti
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Build!n!! Official
Date
e of Fixture
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Building Permit #
$
$
$
60
'50~6
Paid SlJ., "V
Date 1.. 'l.i.- iJ /
ipt Nn ~'V
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372