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Plumbing Permit 08-0025
5 ❑ ❑ ❑ 0 ❑❑ ❑0❑❑ ' 0 > yp o o 0 .� 0 y ' + z u x i �o o ° z � m D o c m m O p � � �� ttt D C � A b r m m m zr �zoz Z Co cn 6 0 � t -4 --4 > AB Z 00 -Ai0 O • zO 10 n N i N 0 z z z5 S o 73 d a O V'It a Ri c 7C O n z o 7: en O y a 0 �� . r"m -i z 73 0 0 '1 m m m m 3- acn *3I 0 - x -1 z °° 4 c m i C - A t m r A. ,� Z v _ =� 'v A to Y C 'o m it . zzzz�Gz'� 3 z z rrs y o z 0 0 X m 0 0 cis m • 000 000 A z ^ • • . ?� ; 0g m IN 0 0 emM30 kt ) a m 53 is � N Z .- z m - r 0 p , PRIO � C. Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT Liz U e 0 IrNESO I 61ne NO. /� a o 3 Yell Aple PERMIT NO (,/ �.1i U UZS 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) Pe An/ n6 - 0 0 P /ace 00nd0 /6 �` / Ta )( Pilo 4-ikc LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT rn ` '' (Name) 'Hey' / Wale( eoAci, ho /t f' n (Phone) 6 s-1- 7 7 7- / 3 q rl (Address) 72 1 3 & /=ci 5'1" /1)00 ,1-41 St; Pc 1 r into 5 / O J (A dress) (City) (Zip 4111! Code) p (Contact Person) 3-r? h 6 /�e n (Phone) b S1- 7 17 y APPLICANT SIGNATURE I.. DATE 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 _ »-X 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 QQ Residential, Additions & Alterations $49. Estimated Cost $ � b U 1 1. 8) Building Permit # • PLUMBING PERMIT FEE $ 9 50 STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ c_j0. (Office Use Only) This Application Becomes Your Building Permit When Approved Paid t,--j Receipt // N �� o..�5573 7 IP F.,0 PRX©„' F� U 1 0 / 44/VNES011b Monday, April 8, 2013 11'11, (1) l Current Resident 16534 FRANKLIN TRL Prior Lake, Minnesota 55372 Re: Building Permit Number 08 -0025. We request your help In review of the building permit files, it was discovered there is an open permit for Water softener at the above address. Please call by Monday, April 22, 2013 to set up an inspection. If there has been no contact from you by this date, the City will deem the permit abandoned and invalid. (per State Building Code R105.3.2). This permit abandonment will be recorded in the permanent public record for this address. Any new work relative to this type building permit will require a new permit along with new permit fees. Please call the Building Department at 952 - 447 -9850 to schedule your inspection date. Thank you for your cooperation, Sincerely, Building and Inspections Department City of Prior Lake