HomeMy WebLinkAboutPlumbing 06-0683
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. ~ ~~ CITY OF PRIOR LAKE PLUMBING PERMIT
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Date Rec'd
1 J-7.tJb
I. Blue File
2. Gold City
3 _ Yellow Applicant
I PERMIT NO'OG. oc.eJ I
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ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25". 384-. () cq. 0
OWNER
(Name) 3-eH' ?lutlo.nd
(Phone) ~\d' d5l - ~~I tv
I (Address) all 11 ;itmp(yes.f- 'Pam Nv....l
APPLICANT
(Name) 'Bl~ (\ \~\p(h(}J\'\ C~()
(Address) -15!:LlJ~aLl (('pe Ie voJlet I hd
(Address)
.f\._ .
(Contact Person) -t::lrVlCLY1ct.Cl
(Phone) US,. ~~R-&-- 15 \ 0
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(City) J
(Phone) [.QS\- "6&&--- 15/0
fY, \J
'5 '5(') l (J \.ri
(Zip Code)
I APPLICANTSIGNATlJR DATE 7.-2l.t-CJ...JJ
APPLICANT PLEASE COMPLETE BELOW
Quanti T e of Fixture Quanti 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
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 $ S <60 .00 Building Permit #
PLUMBING PERMIT FEE $ ',?>q. ~D
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ .1-10. no
(Oftice Use Only)
This Application Becomes Your Building Permit When Approved
Buildin2 Official
Date
Paid 4-tJ, CO
Date ."7. 28.tJb
Receipt No. ...57 79 S-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714