HomeMy WebLinkAboutPlumbing 07-0041
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
\ . 3 \. DB
; ~~ ~:~ I PERMIT NO. 07,004-( I
3 . Yellow Applicant . .
ADDRESS
ZONING (office use)
~ -S '3tY:i
\~iarc(
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CYCt0 ~ G~lrv
l0<COC(] 1S{lCl r\ot V\ tu) Vd
(Phone) ~Y 1. '/jc;q 0
(Address)
APPLICANT
(Name)
(Address)
Applianc;e Connections Inc
1313 Danita Cr
CS"'pee, MN 55379
952-445-4803
iV
(Phone)
(City)
(Zip Code)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
iC1lJv
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture uanti
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato (Bathroom Sink)
Laund Tra (lor 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
e of Fixture
Machine)
Estimated Cost $
Commercial Plmbg.lMech. 1 % of job cost $50.00 min.
Commercial Sewer/Water 1% of job cost, $52.00 min. .
Residential Sewer/Water $51.50 + .50 = $52.00 ai, New One & Two-FaIntly
New Residential Plmbg/Htg. $149.50 + .50 = $150.00 ii, Additions & Alterations
Residential Add/All. PlmbglHtg. $49.50 + .50 = $50.00
/v-, HUlldmg permtt #
$99.50
-1~ ,qJ
Industrial, Commercial & Multi-family 1% of:
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
Buildin!! Official
Date
Paid 4- .50
DateZ., ~. 0 ~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372