HomeMy WebLinkAboutPlumbing Permit 07-0960 (16218 Franklin Trail - Duplex)
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Date Rec' d
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2 Gold City
3. Yellow Applicant
I PERMIT NO'07, oq(,O I
I
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
PID
LOT
(Phone)
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(Contact Person)
APPLICANT SIGNATURE
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DATE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough..::.!n:; ..
Dishwasher i :-Water Heater)
Floor Drain. Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backtlow Assembly . -
Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
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APPLICANT PLEASE COMPLETE BELOW
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
<62 e. ov
Estimated Cost $ :::>. .
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
-St:=;, <;.0
.50
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(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid 4-0,00
Date/cJ. 6,07
No. 64-805
Building 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