HomeMy WebLinkAbout1-1/2" LAWN IRRIG. METER 07-0811
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8. zZ-~ i) 7
J White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07. 08/-1
-WC:lA~
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(Please type or print and si,e;n at bottom)
ADDRESS
~B 3"3P;f
ZONING (office llse)
OuTL,O I
LEGAL DESCRIPTION (office use only)
PID u. 4<4' . 05'(, · t>
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
ORe-Siding OLower Level Fimsh 0 Fireplace
C') l - ~ If t1 t:: ( t4L.
CODE: DI.R.C. DI.B.c. \jMiSC
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
l hereby certify that I have furnIshed mformatlOll Oil this applicatIOn which is to the hest of my knuwledge true and COITect I also certify that I am the owner or ilutlwrlzed agent for the
~lhllVl'-ml'ntlOncd property and that 111 constructIOn will conform to al1exlstmg state and local laws and will proceed In accordance with submitted plans_ I am aware that the huildmg
nftkial can revoke tillS permit for JllS': cause Furthermore, I hereby agree that the Clty official or a deSIgnee may enter upon the prOpet1y to perform needed mspcc!lons
x
Signarure
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; ( _Ji." $
Pressure Reducer $
Sewer/Water Connection Fee # I $
Water Tower Fee # i $
Builder's Deposit $
Other $
TOTAL DUE $
Date
Permit Valuation
I
- J
750,OQ
~
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
150,00
-S- c.r> ~
ReceipfNo.
By Ii-"
o
This Application Becomes Your Building Permit When Approved
Ullildll1~ Ufflclal
Date
ThiS IS to certify that the request 111 t:"1C abuve applIcatlon and accLJmpanYll1g do
when signed by the City Planner CllrStItlltes a temporary Ccrliticale of Zonlllg Cl
Jssllcd
Planning 0, rector
Special Conditions, if any
24 hOllr notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372