HomeMy WebLinkAboutPLUMBING 06-0967
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~NES~
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
FILE CLOSED DUE
TO INACTIVITY
Sent Letter
JULY 10, 2008
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~;;~~A~.4rnr/t.2LIJ if)~hRc Yk'#'(PhOne) cyr~t51-~~6- 77.q~
(Address)GA1!J- Y k3t1'iP/f ~Q/l8'e a/J:/ck ~P_Al.<./////.o/ ,5's.tXJ' 7'
(Address) (City) (Zip Code)
(Contact Person) ~b' - -;;;;jy (Phone) qsg-ij::r.S"-'78'9gJ
'PPLICANTSIGNATURE ~...f,A~~P DATE /LI-;9~-c2.P
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Please type or t.
ADDRESS
17.ijtf ~3'
~41Ger ~/L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Address) 174 6J t3
Quantity
1. Blue File
2. Gold City
3 Yellow Applicant
I PERMIT NO. ()(, . O,9Q
Sa!
ZONING (office use)
PID 25". {95". Oz,r 0
(Phone'P sP-L/ ~&- ;;;z8/ 9
S;~J
Type of Fixture
/
RS~ugh-ins
<:'W ater Heat~
r Water S-oftner
Stand Pipe (Washing Machine)
. Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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 $
(Office Use Only)
I
This Application Becomes Your Building Permit When Approved
Building Officiall
Date
3'l50
.50
+0.00
Paid A /'l
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Date 10. 2,,(, ,0"
ReCei"O.
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714