HomeMy WebLinkAboutBuilding Permit 09-0803
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
ease
ADDRESS
3~S8
LOT BLOCK
LEGAL DESCRIPTION (Office use only)
o M..TL ~",:;r L
: ~ E... [PERMIT NO.1-m..~ ]
t ZONING <__']
ADDmON
PID
EL.tl...7/Vh7<:::5A./
/;9..:TL-
BUILDER / /
(Company Name)~ ~k/77A.e)C ~me.s
(Contact Name) )~s S OC,,)C6:~
(Address) /4 ~ CD /Z -r
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TYPE OF WORK 0 N<w","""",",," 0I>.d DPo.a, ~ 0Re.sidu,g [JLo."."", F_ 0 F-."
OAddition OAlteration OUtiIity Connection
CODE:~. OLB.C.
Type OfP~on: I H m IV V A B
Ocaipancy Group: A B E F HIM R. S U
Division: 1 2 J 4 S
OWNER.
(Name)
(Address)
~c_
(Phone) 9,<:;.) - gqn1 - :5 CD 3Co
(Phone)(O I J. - 3 &0 - f) S ~"S.
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o Mise:
''''''''' """" "" 'UR"""'" __ ~.. _.......... "" "'my _............ '.... """" ....,_... ~.. _ _.....
- -......... --................... -.......-.......,.,..,. -- - -..... ,- -.....-
-= ....- ;..-. -'''''''''-.........-...----..-.........--
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Permit Fee
PIan Check: Fee
State Surchatge
Penalty
Plumbing Permit Fee
MecbanicaI Permit Fee
Sewer & Water Permit Fee
GasFirep
4- 00
PROJECT COST/VALUE $ 030, _
~Iand)
C:>~ II "19
Contractor's License No.
/t:'-({j -09
Date
Park Support Fee
SAC
#
#
WaterMeter SizeS/8"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
EPaid
Date
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""'" .........-----..--..""--...---- ""-
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issued.
:::
Pbumiog Dinw:tor
Dlml Special Cooditioas, if any
24 hoar notice for aD Iaspectiou (952) 447-9850, fu (952) 447-4245
4646 DlIkof8 Street Sol:.. Prior Lake, Miuesota 55372