HomeMy WebLinkAboutPlumbing Permit 07-0155
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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CJ/#'/lff /5702
C{S
:? Ie;. Ii 7
ZONING (office use)
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
ttd ~
(Address)
APPLICANT I J AI I
(Name) M;/bl,,1'11 FIuJlhbll1P
(Address) 290~ trtr./t;jp/I/vt f
(Address)
(Contact Person)
APPLICANT SIGNA TUR
Quantity
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Estimated Cost $ t((}O
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
PIDZ5.1-.<::2... 6/7.0
(Phone)
(Phone)
1'1,;)
(Phone)
DATE
Type of Fixture
Residential, New One & Two-Family
Residential, Additions & Alterations
'5 <:t. 50
.50
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Paid trO. (.,
Date.S. ;).. 3-
>5 Z- l L
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714