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HomeMy WebLinkAboutPlumbing Permit 13. 0279 5 0 0§ n 000000 "u 0> -0 q n a 00 0 0 cn @ - - n - o 0 K $ 1 R Z 7i 7 g r" � c Ekk m g 0 ® r 0 0 0) m� - o z $ e % .46 ® ® 2 $ --1 6)>G) P o� -4 m 6 0 0 C d ° -r m . cn 0 z z �» m a �. o \ \ \ j \ � �' m m r o 3 x m ) k k z m 0 0 000000 m 0 _ q 13 _■ ■ r_0_ ) / M1 " s r O -t0 2 ? m) k 0 7 , �2� »m2 m p o / z z » z = § 0 ` r -nRR \ § Fl L m o a • S�� c \ z n m r- §% z m 0 0 I m _ � 0 4 ® $ )400000 . / > § �]$§§ » \ / � � r" §13§/ m } 0 ® . m m o E K � �■ �E -1 � § K I t -i r. c p Ri Date Rec'd f A CITY OF PRIOR LAKE PLUMBING PERMIT U ' by 1. Gold Cit PERMIT NO . 2. Gold City i3-- 479 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (once use) /CaR f JC /c, Cntr'r LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) A d-o , - gu✓Y` - 1- l rCJ (Phone) C 3_ a S (Address) / alyS ro ),lh L C /' APPLICANT (Name) )P-1 C©Vi'ty (A4v>` -y, 4 C))4 lrlCni)y� / f ie 1 7/ p (phone) `J 00 (Address) 7 j /1-- 4VL ✓ �/ /� , I i` R- V cl SS-31V (Address) (City) (Zip Code) -- - (Contact Person) ' J U ri 1 (Phone) 3 a 0 517- 9 s0 APPLICANT SIGNATURE DATE -V -0 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 Sprinlder 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 The Minnesota Statutes § 32613.148 Est $ Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ z i 9. July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50 The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ ,,1`p. o 0 is iti, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid so 0 0 Receipt No. ` �- Date 4 / f / 7 By � Building[ Official Date '7�/ 7 /XJ s,,L.:. 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372