HomeMy WebLinkAboutPLUMBING 06-0979
FILE CLOSED DUE
TO INACTIVITY
Sent Letter
JULY 10, 2008
Date Rec'd
--: PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
1:3/-/51 W/(/ow Beach Jr~i (
I. Blue File
2. Gold City
3. Yellow Applicant
PERMIT NO.O&, .- ?7f
SN
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIQQ5-IO~,.O//7-D
OWNER
(Name)
Sh-u on fujdon ,
&~ J +hOf laJ<o .
(Phone) qtjri.. <f~b-77L{::J...
(fY\1\). ~:\/~
(Address)
APPLICA1\TLn D' r-
(Name) rrr' \ p-ef.QO r~ ~
(Address) ~ ~ 0 "\)01& '12&
1 (Aadfess) - .
~ris Dien
\PPLICANT SIGNATURE
(Phone) 051 - 3td3-13-eD
EuC1at-\ c5J I~
<9ty) (Zip Code)
(Phone) bCS (-310'5- (3LfD
-~ DATE ICJ-db -Of-
(Contact Person)
n.
............
--
AP ICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity , TYPf of Fixture
Bath Tub with or without shower I Rough-ins
I Dishwasher I I Water Heater
I Floor Drain I Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
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 $
Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
&1.50
.50
Lfo ' 6 0
Building Official
Date
Paid L( 6, .----.
Dale:? ~o1--6
ReC~'8- 50
I By g--
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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