HomeMy WebLinkAboutPlumbing 07-0920
5" 0\ 0 000000 "tI 0 ~ -0
1Il :x: ~ C Z_
"0 o ~ 0 cn"'z"''''''' 0 C ~::;!
~ ~ o 0 3: =iZ(/)~OO Z "
0 Sl m mO
~ 0 ;D ;D 3: ~~C:3:i8 m " m (')."
, :-! ;D " Z'):ZCZ Z (/) ::!"'ll
, m en m 9 (/)
:.tt t o )0 Z ~ ::!(;)~(;) 0"
..... ..... z-
t'>l -f m 0 - zO
~ .... )0 - o z 0
S . o (/) CJ) -l Z 0"
cD -l ."
CD - )0 is ::!):
~ UI o 0 \'J
0 Z --i Z 0"
." ~ 0 mm
~ 0 Z ;D ~
;D C .-< ~
~ -l "tI "tI
. :x: ;D ;D ("\
~ m 0 0 000000
z 0 0
~ m m m 3:"tIcn~3:"t1 Y)
>< m m m'~>m'
-l C C oC: -l0C:
~ ~ z ~ "tI :r:3: m:r:3: "'ll 0 (/)
~ (/) m .,,!!!;D;D;D!!! m 0 0
~ "tI ::l (") ZZ:x::X:-Z " z :x:
::! m ~ -l ~(;)OO (;) 3!: -l m
~ is
~ (") () ,.,,00 ;D =i ?' C
-l 0 Z -"" - c:
~ is ~ tD Zc:c: Z ,
~"tI"t1 9 l'" m
Z m C
~ ."
N 0
..
~ :x: ;D r---
m
~ 0 (")
c: 0
;D < 000000 ~
(/) m -1
~ z ;D (;).".,,(")~ ~
~ Z ~;u;u0 -4
Ro (;) ~mm3!:(;) (;. m
C
~ < _"tI"t1"t1~
~ ~ ~):):>c ~
z ~(")(")z:;;
(")
""! !11 _mm-l_ -4
~ ;D"';D ,
.....-- , i:
cnZ Z m
-l~ (;)
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
ADDRESS
2<6l-lp
5f'''';~J
~J<e-
Qd
~. ~~ ~~~ I PERMIT NO. 01. () tlZ-l>1
3. Yellow Applicant , ~ '
5"53'1- <. I
at bottom)
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2-5..133.05: .
OWNER
(Name) TOXph
(Address) tL
a~:~ko~
(Phone) 1~~ 5 ~S' - 4 L 91
APPLICANT
(Name)
(Address)
CULLIGAN WATER CONDITIONING
e030 CUlliGAN WJ(y"
MINNETONKA. MN 55345
(Adcm~) 933- 7200
(Phone)
(City)
(Zip Code)
(Contact Person)
(Phone)
.v APPLICANT SIGNATURE
DATE
q/j:r/o ?-
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain I 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
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial. Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $ 25Yo \ DO
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3~,so
.50
40 100
(Office Use Only)
I This Application Becomes Your Building Permit When Approved
Date
Paid 4---0. 00
Date 9
,U...CI
pt o. s- -'!-(, 77
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714