HomeMy WebLinkAboutPlumbing Permit 09-0241
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~L ~~Iicant I PERMIT NO'or, OZ4--fl
ZONING (office use)
C lecu' .1(, :PriOr Let tc
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
Pill
OWNER I ,
(Name) LJ alAetl\ll
(Address) 177 q 5
APPLICANT-t--, ~ <j')[ L'
(Name) "j,../rcul.r1 ~ro \-"'" U[AA.vI~
(Address) B515 20QTh 5-t .UJ. La.lLvYille
(Address)
(Contact Person) Deb o( kr', 7t ,
Me:7t 1-1 i k:.
C[eo..( 1(-. ~(tor L(1IL~
(phone)q52.. Bss 4q4-8
q52 007 6770
(phone) qC:'/2- 4<Oq (Oqq q
550t.!-tl-
(City) (Zip Code)
(phone) C(SZ 40q hC( qq
DATE S. L3,OQ
APPLICANT SIGNA T
of Fixture
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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
4cr.50
.50
50,00
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(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
Date
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372