HomeMy WebLinkAboutPlumbing 07-0653
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i ~~~ ~:~, I PERMIT NO. O-r 0 { 531
3 Yello\\ Applicant , r \.P
ZONING (office
use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER.-r .
(Name) \. !tl/JJI.~ ..!;:/ Lt:.'j.'-C
(Phone) cJ5-:( . :J-d-0.- 77 J
(Address)
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APPLICANT
(Name)
(Phone)
-/v'.:j, /6:-J. (Pcf0X
(Address)
(Address) Gavie and Sons Plumbing (City)
12725 Nightingale 81. NW
Coon Rapids, MN 55448 (Phone)
(Zip Code)
(Contact Person)
DATE
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quantit
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
/1//
73(J1
APPLICANT SIGNATURE
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
(Office Use Only)
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $ 'j!i . ~C
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ ~(1. &0
Buildinl! Official
Date
This Application Becomes Your Building Permit When Approved Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714