HomeMy WebLinkAboutPlumbing 07-0301
D~ 0'0000 11 0 ~ -0
0 z_
::J: ~ 0 ~~
0 0 Z 0
::J 3l: !!!-zi~~ Z m ::0 mo
UI -Izen CO m ::0 m 0."
16 o 0 ~ 3l: m>c3CZ-I en :::I."
000 Zr>zgz Z en
8 0 Sl " " ::u m 9 0"
> 0 " " " en ;:iC)-IC) z-
~ r ~ m m en Z "lJ 0 _ zO
r 00>- -f m Z 0 0::0
::.. t -I -l -I en ~ Z ::!>
hl :IE > - 6
~ ~ o 0 ~ .(' 0"
I Z mm
S cD ::u ::! )0
co
~ UI " 0 (") €
0 - Z-t
." 0 > CI
~ 0 Z ::u ,
" 0 .:<
~ -l "lJ ." 000000
::J: 0 " "
~ m " 0 0 3C."en~3C;2
~ Z ::u 0 0 m~~>~c
m m
m m m m ~3C iri::J:~ ." 0 en
~ >< z c 0 m 0 0
-I en "'!!!""::u- " Z ::J:
lIl:l ~ -Z::J:::J:-Z m
Z ." ~1i)00 Ii) ;c -l
a ~ en m =i ~ 0
~ ::J 0 r."OO ::u c
~ ." 1lI -I -;:J;;:J; - Z r
::! m :::t 6 zcc m
0 () ~."." 9 0
~ -I 0 Z
~ 6 ;a. 111 f
Z ~ m
~ ."
N 0
". "
~ ::J: m ~~
~ 0 0 000000
c 0
::0 < Ii)"''''o~ , -4
en m >--0 ,.....""m
~ Z ::u en~~;C1i) ~~
Z r"'''''''$!
Ro > Ii) ~>>>c
0
~ ;; >00%:;;
_mm-l_
~ Z ":!J~ F=
0 -Iz -
~ !'1 en> Z
-Ir Ii)
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2 Gold City
3_ Yellow Applicant
I PERMIT NO. 07. 0.30 IJ
I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ~(. soo. o-z.,o. 0
OWNER
(Name)
-~ fc~\ex-
k,Q...
(Phone) 9S~" Lt10-o~ib
N.- S S3 7;),
(Address)
~;;~~ANT \-rP ~\ ~o ,L(b(, ~s
~\PIO TXdd
(Address)
. ,. .
(Contact Person) ~...(\ y-O\€n
~,
(Phone) l{f) \--3~-\ ~LfD
E:CtJ~OJ\ M N ~.:s Id~
(Cit~ (Zip Code)
(Phone) ~'5\~,~0~-134o
DATE -0'
(Address)
-'\PPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
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
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
3~ - '50
.50
4DQ)
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid .fa _
Date5 /L
. T ~O
Receipt No. 5:5+-2
By
Building Official
Cf
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714