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HomeMy WebLinkAboutPlumbing Permit 09-0636 5" o~ 0 o~oooo "U e > -0 z_ III 0 :t ~ C ~:< "8 0 ~ en"'z.".,,-n 0 c 2 0 Sl 0 5: =4zen~OO z m ;:u me > 0 ;:u ::a 3: !!!>c3C~9 m ;:u m 0." \:::I , :-1 ::a '" z'>-cz z CI) :::!." h1 m m CI) , 0 en Z en -f~>C) p O;:u ~ t -t > "0 - -f z- h1 -f -i m 0 - zO I<::l ..... > C;; CIJ o Z 0 en o;:u I 0 -f Z S co :::! ." ~ :::!> ClO > 0 ~ at 0 Z ~ 0", 0 -f mm ." 0 ~ 0 ~ ;:u , ~ -f , ." "0 ~ ;.,. :t 0 ::a ~ ~ m ::a 0 000000 z ::a 0 ~ m m m 3C."en:E3C"O >< Z m m'~>m' -f c OC -fOC ~ Z ~ en :z:3C m:t3C ." 0 CI) I "0 cs CI) m .,,!!!::a::a::a!!! m 0 0 ." ::l 0 -Z:t:t-Z ;:u Z :t ::! [iiJ m lD -f ~C)oo C) ~ -f m 0 :::t 0 ,.,,00 ::a =4 ;:u c ~ (") C -f 0 Z -"'''' - Zc:c: Z , ~ 0 & lD ~.,,"O 9 m Z m C ~ N ." . 0 ..1) ~ :t ;:u , m ~ 0 0 lit t~ C 0 ;:u - < DoooDD(j en m ~ Z ::a C)."."o~ > Z >;0;00 Ro C) ~mm3CC) ~ C _.,,"O.,,~ ~ ~!;!;!;c ~ z >oOz:;; 3 0 _mm-f- rn ;:U"';:u , -4 -f-- , i en~ z m -f, C) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND U ION PERMIT '" File City Applicant Date Rec' d 6- 20_0J I PERMIT NO'09. O&3f.o I PLfi/3fj_ {I ~/ '*" s iA'~ ~ 'f7: ?~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ZONING (office use) OWNER " (Name) ., ~ ~ (Phone) ? .s - 2- - 2 :2 ~ _ c/2 ell 'f7= -~ (Address) BUILDER (Company Name) (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK 0 New Const~n ODeck o Porch ORe-Roofing OAddition ~lteration OUtility Connection CODE: DI.R.c. DI.B.c. 0 Misc. Type of Construction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 ORe-Siding OLower Level Finish o Fireplace PROJECT COST IV ALUE $ (excluding land) I hereby ccrtify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the above-mentiOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the building offiCIal can revoke thIS permIt for Just cause~ ~~' I heleby agree that the clly offiCial or a desIgnee may enter upon the property to perform needcd mspectlons X ~/~ 8 -:u>-~() Signature Contractor's License No Date Park Support Fee SAC # # Permit Valuation Permit Fee $ Plan Check Fee $ State Surcharge $ Penalty $ Plumbing Permit Fee $ ~O_OO Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee # # Builder's Deposit Other TOTAL DUE This Application Becomes Your Building Permit When Approved Building Oflicial Date $ $ $ $ $ $ $ $ $ 50- 0 0 ThIS IS to certify that thc rcqucst in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document when signcd by the City Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issucd Special Conditions, if any Planning Director Date 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 4646 Dakota Street Prior Lake, MN 55372