HomeMy WebLinkAboutPlumbing Permit 09-0637
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
B. 2.0. O?
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO.Otf. O&3j1
I
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Avu
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
BLOCK
ADDITION
PID
~
~
(Address
APPLICANT
(Name)
(Address)
Champion
6S&:r~ 340
36j.~ Ba> d. #100
Eagan, MN 55123-1339
(Contact Person)
APPLICANT SIGNATURE
(Phone) C)51-'" Lffo - 3 '777
s5372-
(Phone)
(City)
(Zip Code)
(Phone)
DATE
e 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 $
PLUMBING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
Building Permit #
4q.~o
.50
5U 0lJ
$
$
$
24 hour notice for all inspections (952) 447-9850, fax (952) 447-424
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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