HomeMy WebLinkAboutS/W (install PIV) 07-0740
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. Green File I PERMIT NO I
2. Yellow City ., -Of.K' "
3. Gold Applicant Or ~
:?,S$n~tandsie;natbottom) J ~ i I ~ J6~s
L~ \4800' C~j2.~tAss.l\I ~l
.\eff6f2.s ')(YIA) /5r
(<:;-0 111 DA-N t1cHL \~
ZONING (office use)
PuSl)
LEGAL DESCRIPTION (office use only)
LOT \ BLOCK 3 ADDITION
PID 7.<;' - 4 ~ 1 . \ ~ -, -0
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
I ~P~ICA:T" /" I
(Name) / ~- (.....,
'- (Ad~ l..{ loD ftJ,,/I()v Dr
(Addre~
(Contact Person) -c Vh... ':)i.v-~......C;;--:;::;?
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APPLICANT SIGNATURE . \. 4~ ~.-...--tS:::>_.
~ - ~-
G", +r~( -f /i,,- "\
(y\(
-J
(Phone) 7~?- '(7~- '15J 9
;v1yJ. K, ~)?i( 0
(City) (Zip Code)
(Phone) 7 (,,?- :J'-(J.. -o-?? f
<(Irl()'f
'f1rc- LNt B~ r3s7S
APPLICANT r~EASE COMPLETE BELOW J
Size of water service ~ inches. l f'!4TI\Ll.- / ~~.:;.. ? \ \J
Location of any couplings from structure feet. II' c.. A,
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line feet.
Ch~an out (if required) located at feet from structure.
DATE
Estimated Cost $
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family
$17.5/er connection only
Building Permit #
1 % of job cost with a $39.50 minimum
$17.50
Residential sewer and water line connection
Sewer connection only
~'~'El.\N& WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
r-L S <.:)
.50
l B _ l.".>\;)
-
/ II
en Approved
Paid I ~-I' f
Date S /S /0 "7
Receipt No.
.5)4<""( 7
By fA '
r2J) IPr
J uJ .;~ 8. 2 0 0 7 2 : 0 9 PM
AJA, INC 6125440531
No.4863 p. 2/2
...
I) F T -\ r L () Feu :\J .1..;, T Rue T I () 'J
ANDERSON - JOHNSON
ASSOCIATES,
INe
1".:: SITE PLANNING . ClYIL ENGINEERING
'\' SUITE 201/ - M1NN&fJ'OUs' Ml JJ417
- PH (7C)J#-7119
REVIEW
WOlD ARCHITECTS ANO ENGINEERS
ll.ULD F P
PER
· INSPECTOR / j
D~ 8161c.57 p~~.:.y~ -\ \ \
s-ACCEPTE'o AS- SUBMITTED' . '~
J ACCEPTED WITII CORRECTIONS AS ~TED >< \ \
o NOT ACCEPTED-CORRECT & RESUBMIT .. \\
are for your Information. AI work shan be done
in ful with all applicable building & zoning code re-
lul . ts Indue ng items not specifically noted In this review.
PLAN SET ON SITE AT ALL TIMES.
6 WEST FIFTH ;) "'u. I
ST_ PAUl. llN 55102
FAX: 651.223.5646 TEl: 651.227.7n3
715 T<l.LGATE ROAD. SUITE H
ELGIN. IL 60123
FAX: 847.608.2654 TEl: 847.608.2600
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SCALE: 1'=30'-0"
.BJECT: LOADING DOCK EXPANSION AND P.I.V. RELOCATION
DATE: ~st2~.2005
REVISIONS^
COMMISSION NO: 0520eQ
REV. DATE September- 22nd. 2006
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