HomeMy WebLinkAboutPlumbing permit 09-0331
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
G,.r 07
~. ~~~ ~:::y I PERMIT NO. D/? 032/ I
J. Yellow Applicant -, J,
ZONING (ollice use)
'v'6q~
W (i Low Ltul6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER E'
(Name) . =1 (Lf lj
(Address) I (y 0 q~'
[lflrl ti1' uYL.
W,LlOVV UnU
(Phone! q Cjl) 22&, \?;2!J q
(Address)
(JYbl6'YVL D(~b}'n
tla,f'n'eLL u.
(Address)
/4"YYl~/
(ltI2)~ 7- L(-o?J3
L s 55Lf~6
APPLICANT
(Name)
(Contact Person)
APPLICANT SIGNATURE
Quanti
APPLICANT PLEASE COMPLETE BELOW
T e of Fixture Quantit
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavato Bathroom Sink
Laund Tra (lor 2 com artment sink
Shower Stall
Sinks
Bar Sink
Water Closet Toilet)
e of Fixture
Machine)
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
1fO (}O
Estimated Cost $ V.--
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
tfCI.5E
.50
.Sf) O~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid 5V. dV
Date t;,. 5. 0
o. 57997
Buildinl! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372