HomeMy WebLinkAboutPlumbing Permit 09-0129
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1-. z.. 07
I Tn';~~prin"'T ~~~~
1. Blue File
2. Gold City
3. Yellow Applicant
I PERMIT NO'Ot(, OIZ9f
!
ZONING (office use)
lO\A ~ lA1Y\
\
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I OWNER
(Name)
(Address)
=~~~
(Phone)~O · 5l+-J~
Quanti
e of Fixture
APPLICANT
(Name)
(Address)
(Contact Person)
APPLICANT SIGNATURE
artment sink
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 $
(Office Use Only)
.50
Cj0 6 ,-
BuUdin!! Official
Date
Paid 50.00
Date +. 2, 0
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372