HomeMy WebLinkAboutPLUMBING 08-0722
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
J. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO. 08. 07Z z.J,
I
I ~:;;-~~~1 ~CllvlYWf~ 1Y <MJ
ZQNING (office use)
LOT
LEGAL DESCRIPTION (office use only)
BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
~w
(phone) ~ ,L{l(11 ~24;
rlf
Appliance Co..n'~n. tile
1313 Dan ita Or
(AddressahakOpii, MN 5$379
952-445-4803
(Phone)
(City)
(Zip Code)
(Phone)
APPLICANT SIGNATURE
DATE
Quanti
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato (Bathroom Sink)
Laund Tra (1 or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
e of Fixture
Machine)
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a' $39.50 minimum
(Office Use Only)
Tbis Application Becomes Your Building Permit Wben Approved
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTALPERNUTFEE $
.50
5b .((t)
BuildiDl.! Official
Paid J!:::7'\
~I....I. C/C.)
Date~ Z Z. 06
o'~es.J
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372