HomeMy WebLinkAboutPlumbing 08-0719
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue File
2. Gold City
3. Yellow Applicant
I PERMITNO.og.07Ir I
I
ZONING (office use)
S S.3 '-:+ L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER n . ( (1 It . S
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Dr lOr (u(1
(phone) ~(-) ~.u L 1..1
run 55_s' 'L
APPLICANT
(Name)
(Phone)
(Contact Person)
CUL.L1GAN WATER CONDITIONING
{Addfl~S~030 CULLIGAN WAY (City)
MINNETONKA, MN 55345
(952) 933-7200 (Phone)
1
(Zip Code)
(Address)
APPLICANT SIGNA TU
DATE
Quanti
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quantit
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavator Bathroom Sink
Laundrv Tra 1 or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum
Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
D~
Estimated Cost $ ZOO. "-
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ 41'S 0
$ .50
$ 50. 00
(Office Use Only)
BuUdin!! Official
Date
Pai~) UD
.:.::> V.
Dat~b.08
Rece' N0"-5&8/4-
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372