HomeMy WebLinkAboutPlmbg 02-1212 (lawn irrigation)
Date Rec'd
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ADDRESS
CITY OF PRIOR LAKE PLUMBING PERMIT
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2 Gold City PERMIT NO.O'7 _ /2-/2-
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LEGAL DESCRIPTION (office use only)
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APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
I Dishwasher I Water Heater
I Floor Drain I Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink \ I Lawn Sprinkler
I Water Closet (Toilet) I Other
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 $ '?Jc-:, 0(. (;(~
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714