HomeMy WebLinkAboutPlumbing 07-0834
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File I PERMIT 0 ~
i ~11~w ~~~licant N . 0 7, oe~
ZONING (office
use)
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LEGAL DESCRIPTION (office use on!y)
LOT '). BLOCK
ADDITION
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PID 25 40foO.2..0
OWNER Cr I L
(Name)~d la~/C mmtrS
~'71-4'1:~-~1 ~~
(Phone)
(Address) IS 110
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APPLICANT
(Name) M~J..Aj Dn..n.ielS 11'\(...
(Address) /6 d-3 D Ca..rr~eI lN~
(Address)
(Phone) ~f5 1- L-{ ~ 3 - 3 7 3' (')
R~e-YY\D u..nt f M AJ 55 () La 8
(City) (Zip Code)
~
(Contact Person)
APPLICANT SIGNATURE
e of Fixture
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 $ 3 q , 5iJ
STATE SURCHARGE $ .50
TOT AL PERMIT FEE $ ~D ,00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid40..w
Date ~ ,('\
8.. JCJ.,w/
t No. {; -f $"1'
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714