HomeMy WebLinkAboutPlumbing Permit 07-0975
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7- fi6)
I PERMIT NO.07 O'l7SI
Date Rec'd
/U,{ (), 0;
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2. Gold City
3 Yellow Applicant
ZONING (office use)
/5.380 /3/& /fO~t/ /~SS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
[ OWNER
(Name)
(Address)
(Phone)
APPLICAN
(Name)
(Address)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
Quantity
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)
DATE
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 $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3' 9. So
.50
/fO.VD
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid .f(). 0 ()
Date, 0, 10 , 07
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714