HomeMy WebLinkAboutPlumbing Permit 08-0765
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
; ~~~ ~:~ I PERMIT NO.al:::. 07/51
3. Yellow Applicant l:7 _ tJ? ,
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER n ,
(Name) b tn ,\ VJ"~ \<.n
( "
>)~\IL t
{S! (2)8C1 27
(Phone) C ,'.
(.~[! '") 7 c}
(Address) \1G~ \\'Jly\",,\f AvQ.
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APPLICANT
(Name )( V\ c.,.~.J \. C.:t\.; c\.. t
(Address) \'llc; 9) F) c/. \ rv\c.",'\.t ~LJ<Z...
(Address)
(Contact Person) W \.;, -\t;(\ ,~;;TDLt t
oe -, c. ;J. .' CI1 '2 1
(Phone) 'L..JL- J\.J .
APPLICANT SIGNATURE '~A)trh, <f.;.~~) DATE c, -(~...cE
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quantit e of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink
Laund Tra 1 or 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet
(>~Lk t>fl"...-L--
(City)
(Phone)
C' c',: '7 c'
.>. J':> 1
(Zip Code)
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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
~
~
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Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3 '1.50
.50
40~oo
(Office Use Only)
Paid~. (/V
D'O. 'of d8
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S,E., Prior Lake, MN 55372-1714
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