HomeMy WebLinkAboutPlumbing Permit 09-0071
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ret'd
3,ro.(j!
1. Blue File I PERMIT NO I
; ~~:~ow ~~~licant . 0 q, 0 0 7 J
ZONING (office use)
331
5hQJ
\3 e~c\" C-,r
N[
SS3'JJ
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
r ~ \ cS:2 vV'.. lA V\
(Phone) 95 d- '-I 0 ;).- 9 \ 5 0
OWNER
(Name) ~ e.. '( e_s c;
----
I{
APPLICANT
(Name)
(Address)
CUI I 1(l1lf'J W/\TEn CONDITIONING
6030 CULLIGAN WAY
MIN~E~NKA, MN 00345
(Ad ~ . rg'" ...,
, i. .-)~,-13,200 ___
(Phone)
~.
t-ri
(City)
(Zip Code)
APPLICANT SIGNATURE
(Phone)
(Contact Person)
DATE
J-I r - 0
Quanti
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quanti
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink)
Laund Tra (l or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet
e of Fixture
Machine)
Test
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ ') 0 0 . 0 0
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
L19.SD
.50
,')OlOO
57zCR5
(Office Use Only)
P aid l:'"7"l r Ii'I
OVlVU
Date 3/& ,()
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372