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HomeMy WebLinkAboutPlumbing Permit 09. 0805 - 0 0 0 000000 7 0 > §g QQ 0 u) -n 2 § 2 �4 c o m m n 0 \ / 0 73 P XI m m k � \ § o d Z $ d� 0n z Qeo Z- 10 R i j ° z 2 § @ k q / a $ § / ] \ \ k A 7 2 0 ' q -1 -n 13 - r 2 00 . 000000 f \ § §/ m � � $ §� c .•:(''' k' \ k / 0 } k 7 }� 0 % � } zi 2 0 0 CD 0 rm00 % § % o $ 0 / 0 Z 7 7 z ?. § 2 § m �> � �� P § / _ . g 0 » / . ©) O0000 ' . i'-: o K J `] III §§ 2 > Q �� ppm ■Q � CZCCCE a k 0 ›kk X 11 7 ® / § A -- --I r . 0 �t ❑ ❑ - 0 0 0 0 0 0 0 0 > Zc) _ * 0 -- 0 y-n im 0 0 C- ii 0 0 1 N c O z z A m 0 b D o 0 E 73 m = m z I - m m 0 r m m �"�C m N 52 z p� - r n 0 to X46 Z 1" O >O z� * -1 > -� m o to \ D (7) n Z z z 0 tn • 0 � z .-I z m m m ri 0 D D O S r z r a = n • v a, m o o 'V -� ❑ ❑ ❑ ❑ ❑❑ m m m m (1,. ( 3� y� 3 1 m ( W � ) A * czi, v v 1 l/ ( X m x 3 v 0 0) Z fin) ° „WZXx� m 0 � , 0 i O D m S Exrzmz - x C m m -1 -1, D 0 O O G) 3 --4 m 0- _l r m 0 O 73 = p v • -+ o z �T 1 z z r hi _ c O z m VV��JJ r v o O Ii. v rn N O .� xi • A �1� x 0 m I 0 C A 0 r ❑ ❑ ❑ ❑❑ co ,...1. v L..., • z Z i' iO r o m '',1 • z n D00Zo y m X m x r -1 " N Z Z m PRIG e e ti �� CITY OF PRIOR LAKE PLUMBING PERMIT � '" OCT 0 6 2009 y U F ' ,rr N1V E 5 D� I. Blue He . Geld City O ! . PERM NtJ - G - 3. O� D� 3. Yellow Applicant !. (Please type or print and sign at bottom) r ADDRESS ZONING (office use) I�aa� f or\ l - Gy se 55 31 LEGAL DESCRIPTION (office use only) . LOT BLOCK ADDITION PID OWNER . (Name) - 1 - 0, y \a ASS e 1 (Phone) ( 5Q - 393 - 793 ( (Address) IbaOL1 C Cy r R APPLICANT (Name) CULLIGAN WATER CONDITIONING (Phone) 6030 CULLIGAN WAY (Address) MINNETONKA, MN 55345 . _ (Addre2) 933-7200 (City) (Zip Code) (Contact Person) (Phone) • APPLICANT SIGNATURE ecd., DATE 7- a 3- 0 1 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 I 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 $ a00 00 Building Permit # PLUMBING PERMIT FEE $ 49, Sa STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ .50 . p (} (Office Use Only) This Application Becomes Your Building Permit When Approved Paid .5 • (/ZJ Receipt No3 0 Z Dat ;O . G . G 5 By Buildine Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372