HomeMy WebLinkAboutPlumbing Permit #12-86 � ❑ �� C� O��OOO � � � _�
� � ��� O v,,,=�oo o ° v v
n � � o o p 3 zu,�° m m n � i m
b ° � � � 3 "���3z-� Z � y ��+
�, m�� m y szyz O v, Ov
t�i� �- - m 0 ��� Z O
p m � n� (/� � Z Z � Q�
� o D O � m 7C
� o � N m
� � z �
� � v
_ ,� � v
� m � o � ❑❑❑O❑❑ �
'� X m m m m�N��� �
o� -� N o v �c ��c
� �c ,��,��� m p c
C � � � yc 3 - m
� � n p - r,f O O � -i � c
� � o z =�� z r
� z � m �' � o
o N �+
Z' A 0
_ �
m N
� c �
� y m �O❑��❑ �
� Z Z >70��L� '�
m
� C � y v�v�
� n m mm��
� m "� � �
�
1 � � � "'
0 .� Y�tlp� ' Date Rec'd '
a, CITY OF PRIOR LAKE PLUMBING PERMIT
� � .
�'xES�� '' t. e� r��
z. a,w cb, PERMIT A10. Z ���
3. Yelbw Applicaiu
lease or and at bottow
ADDRESS ' , ' ZONING (o�'ioe use�
, � i.
LEGAF. DESCRIPIZON (o�6a use only) . �
LOT BLOCK' ADDTTION PID
�
OWNER � " � �
(Name) ' (Phone) � " �d
{Address) . ` s � ''
. ,
APPLICANT ������:CQl11'1@�'�011$ I11C
(Name) (phone)
. anf r
(Address) � -
' ' (City) (Zip Code)
, ' 2-4�4 -4803
(Contact Person) (Phone}
APPLICANT SIGNATURE c w DATE ��' I�
- APP�,ICANT PLEASE COMPLETE BELOW
uanti � T of Fixture uanti of Fixture
Baf,h Tub with or without shower Rau h-ins
Dishwasher � Water �Ieater '
Floar Drain Water Softcner
� Lavato athroom Sink Staud Pi ashin Machine
Laun Tra 1 or 2 co artinent sink Sewa e E'ector
Shower Stall Bac�low A.ssembl
Sinks Backflow Assembl Test
. Bar Sink Lawn S rinkler
Water Ctoset oilet � • Other
FEE SCHEDULE •
)ndustrial, Commercial & Multi-family l Yo of job cost with a$49.50 minimum Resid�a►tisl, New One & TrvaFamily S 149.50
Residentia[, Additions & At�ons 549.50
'Che Minnesota Statutes � 326B.}48 . . � �st � Building Permit # �
"SURCHARGE" has been changed for one '
ycar effective PLUMBING P$RMIT FEE -$ �
.Tuty 1, 2010 untfl Ju�e 30 7AI 1. STATE SURCHA.RGE $: . .SO -
7'he minimum snrcharge for s "fixed fee" permit �'OTAL �'ERMIT FEE $�,� �
is �. begideing July 1 2010 •., '
This Application Becomes Your Building Permit Whea Approved � Paid � � Rece' o. ��-� L �
.
, . . � � Dete B
Baildiu� OfBdal. _ �• Date ?/ � 3. � Z-'. ; �
. • 24 hour motice for �I inapectlons (952) 447A8S0, faz (9�Z) 447-4245 .
,: • ,� 464�6 Dnkata Street 3 E., Pr1or Lske,,Minnetntx Si372 :
. . . . � . . . .. .. . � . � � ` � � ,. y . �- '
� � � . . • .. • _ . . . . � . � . . .
. ' .. z• i. •'��... • .- , ��_t ,� . µ,�,---•..._... �' '
. . ' . • . . * . � • , .�. �.� • 3 .�` �' `, i
� . . . . . .. .._ .. . D . . . _ . .
-"�y�? ,4,s�d�,��i'�r,��wf+,+.} ��'�Si�����l�a
�.e.� ;'::31 n "v � .? w �+�. �
'*, r,;w� �� .�t9��,F��,��: .
�'�`���:-������`