HomeMy WebLinkAboutPlumbing 09-0560
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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3. Ye\low Applicant . -I-
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
BLOCK
ADDITION
PID
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OWNER
(Name)
(Address)
APPLICANT
(Name)
(Address)
(Contact Person)
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(Phone) 9' r;}- C-fo>- 186S""
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(Zip Code)
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(Phone)
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(City)
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(Phone)
DATE
APPLICANT SIGNATURE .
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
$~
$ .50
$ SO.--
(Office Use Only)
Paid
Receipt N~b 45" 5
By J'<t>
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372