Loading...
HomeMy WebLinkAboutPlumbing 06-0960 Date Rec' d ~~~lm~_~ ~ e\ l) 1lJT I. Blue File I PERMIT NO J ~~ ~ / Q/O 3. Yellow Applicant <B . . / t..P ZONING (office use) /)ve , 1\)0 LOT ADDITION (D~ PID ffl..)~?Z LEGAL DESCRIPTION (office use only) 1~~~~0~o/b~rs (Address) (Phone) (Contact Person) 7 b '3 -5-5>-"" ) - ~7 <'.}' 0 DATE 10 -J,..S= C) -b APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other APPLICANT (Name) (Address) 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 $ TOTAL PERMIT FEE $ ------ Receipt NO.5\~ By (Lf)~. our notice for all inspections (95 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prio ake, MN 55372-1714