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HomeMy WebLinkAboutPlumbing Permit 10. 0227 5 ❑ 0 0 00000 0 13 0 > N0 v 0 0 cn- n 2 e n r13 0 2 ° -1 n c� 0 0 0 3 mA m m m �� b r n z X x 3 Z C oz ccn n �,n A 5z z cn - r O O xi * tll r a. `glob m a A Z -0 p01 Z O try A =� P � C Z Z �% zo xi 10 - � g �o 0 -n =� i %i _1 °+ T o n z m o Z 8 ♦ m rn 0 • 0 • XI r Z ` _� X r ° 0 • m 0 O ■ 0000❑❑ — � Z m m m 0 C"V0 [- c c po 1 13 ° ° S c mi 13 0 N W m 0 tz, o C 'O m - Z 000 � 0 3 Z m .o m =� , - n 00 23 0 0 0 0 > cC Z � � m O • 0 1 m ~ r 13 71 O • m 0 • A 0 m o W1 • 1 Or ❑ 0 0 0 ❑ ❑ 1 Z m 1 "XJ73 0 00 R. 0 0 rm � m t'l ' C !n m — z 0 m -I r 0 'n I TRIO Date Rec'd .' �� � CITY OF PRIOR LAKE PLUMBING PERMIT ¢ , i o jn'NEso - 1. Blue File 2. Gold City PERMIT NO. I 0 O Zz1 3. Yellow Applicant ` (Please type or print and sign at bottom) ADDRESS ZONING (office use) O7� W d e Cirde LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER � / 9'52, 2-240-50-7 (Name) OWNER -77 45 r /�/t Lt,� r1t' (Phone) (Address) CS CI ?j X40 L-aJ APPLICANT (Name) (Phone) Chmmpw01 Plumbing (Address) * 61770 t3 (City) (Zip Code) 3 70 © d 4d• (Contact Person) Eagan, MN 55123 ( 5 (Phone) APPLICANT SIGNATURE v DATE 4 - 5. -1 o APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ 1 4 C I .So STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 50 0 Rec p No. 3-11,- Z Date/ Q ( f\ By Buildine Official Date "� I 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 1 r Z 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 Ce