HomeMy WebLinkAboutPlumbing Permit 09-1064
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CITY OF PRIOR LAKE PLUMBING PERMIT
ru ~ @~tQ ~cta ~
W DE C 2 8 2009 W
I. BI1io f"do
2. ~14 Cily
3. Yellow Appll.....
ADDRESS .
I d.?0 CAi\JJ k.JNt'GD LN ~ E
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
(Address)
I"t \:.e ~ A v E .2.
)L} 1- 24 Cfr:'"d \t-~ccJ 1-j~ N E
(phone) q~ z-'1.JLJ5-[ /-;]~
OWNER
(Name)
~~;~ANT J) c? i) !"lfC ~l-r' :v.('\ 1 ('_0.
(Address) &: 2C &: --0-, Sf-. /'v \"
(Address)
(Contact Person) I i::l'v I f:) ~
(Phone) . Cj,5;2 - 15:3 .- 3{~95:
J\'cJv f1z,4jL t- 5/; c'7 )
(City) (Zip Code)
(phone) 0 5 d - 75-:3 - 8 cq~-
----- DATE / 2 -L 3~C 9
e of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi.family 1% of job cost with a $49.50 minimum Residential. New Onc & Two-Family $149.50
Residential. Additions & Alterations $49.50
Estimated Cost $
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
J-.fQ,5u
.50
-? () . DO
(Omce Use Only)
This Application Becomes YOUl' Building Permit When Approved
BulldtRl! omctal
Date
Paid 50 , l/O
Da,z. ' z..-e, 0
14 hour notice for allln.pectlon. (951) 447.9850, fax (951) 447-4145
4646 Dakota Street S.E., Prior Lake, Minnesota 55371