HomeMy WebLinkAboutPlumbing Permit 09-0663
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CITY OF PRIOR LAKE PLUMBING PERMIT
Dat~ R~~'d
I ~~r;"';;;;WOa1
I. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO. Qq. O~lP31
I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Rowr
- llir
(Phone)
Quanti
'S -:L
(Phone) 0~ ~ ~ 0
~f1n rYl N ~~~J23
(Address)
APPLICANT ~. 2J '
(Name) ~(D () . LLmb( ~
(Address) ~ 10 'PJdL&1.
Address)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
4Gj..50
.50
')0 ., 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Date
paidQt>, cn.J
Date V. 3 f. c)
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24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372