HomeMy WebLinkAboutPlumbing Permit #03-1003 (void)
JUL-29-2003 08:42
CITY OF PRIOR LAKE
9524474245
P.01/01
CITY OF P~ LAKE PLUMBING PERMIT
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Date Rec'd
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ZONING (ollk, use)
LEGAL DESCRIPTION (omce U$' only)
LOT I~OCK ADDITION
PID,;J5- 3/o-0/;;J--
OWNER
(Name)
(Addres.)
H./}t/Jl-<"L
(j
?s~ -L/9? - 9?39
(Address)
,-7 rr/.J- 5:
(Zip Code)
.::,">
(Contact Person)
APPLICANT SIGNATURE
APPI:..ICANT PLE
Quantity Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
aundry Tray (lor omp
Shower Stall
Sinks
Bar Sink
Water Closet (Toil
FEES
Industrial, Comm.rci8l & Multi-family I 'Yo of job .0.. with a $39.50 ml $99.50
$39.50
Estimated Cost $ ,jtJ o. 00 Building Penni! #
(om.. Use Only)
This Application Become. Your Building Pe~mil When Approved
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
39,60
.50
'It) b7J
Date
Paid LA:) ,_
ate 7- 30-3
Receipt
B1/0dl.C omeial
By
24 hour notice rDr aU insp..lion. (952) 447.9850, Cu (952) 447-4245
16200 Eagl. Cr..kA.e., S.L, Prior Lak.. MN 55372.1714
TOTAL P.01