HomeMy WebLinkAboutPLUMBING 06-1090
Date Rec'd
It. /1. U(P
~~~_. "'".., ....~T~n. & .7T.' oLUMBING PERMIT
FILE CLOSED DUE
TO INACTIVITY
Sent Letter
JULY 10; 2008
(Please type or print and sign at bottom)
ADDRESS
ILt Ib:::> GUi Ids ~
I. Blue File
2, Gold City
3, Vellow Applicanl
PERMIT NO.{p . /0 90
,
'-.J->-60a
ZONING (office use)
(Contact Person) (Phone)
PPLICANTSIGNATU~(Y) ~r~ DATE ilJ~
APPLICANT PLEASE COMPL~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)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER/l , ' V · \ \
(Name)~qr-(Y)e ,4-CA. , CI Y-r-~ I
(Address) ~~ t;)~
APPLICANT
(Name)
CULLIGAN WATER CONDiTIONING
t;030 CULLIGAN WAY
MINNETONKA, MN 55345
UH':r,} ~"'!" 7''''00
(Address) \"'~'" "........' ."
(Address)
Quantity
PID
(~1)) 32S6 - :?n6Lf
(Phone)
(City)
(Zip Code)
Type of Fixture
,f
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
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 $ ,::;)::x::/;5O
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office lJse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
L51~
.50
Lln. CD
Paid 40. () V
Date /2./1 (; fe,
:;J" No SU 97
0"
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714