Loading...
HomeMy WebLinkAboutPlumbing Permit 11. 0793 5 0O n 000000 U 0 a E n n a 0 0 e . E riko z 0 oq § r q XI 27 3 �r E§§ � Z $ - -a m r m■ m k � » P o Itcll % S > § -I m 0 � 0 . z 53 e0 . $ q a ' 0 o % m n ƒ o z m m m % 0 » z ■ a& x 2 # ro m 2 §0 OoOOC o z q x §mm a r ® tEr 2 _ln § \ / � � %: �ol m 0 ( ) o • m q 111 t§§§ 0 q m 0 rmOO z 0 pn z \ m , \ r- -o -a § m / \ § 0 . . I r 2 2 . �000000 - m o R. / 2 �2227�� -, o © E tr� ro 2o _ hi Zo / �� , <. , § 2 �§ . & k �� 0 1 RXp� Date Rec'd o ,� - P CITY OF PRIOR LAKE PLUMBING PERMIT vivESDlP '. Ool File 2. Gold PERMIT NO. Yellow A — 7 Q3 3. Applicant I l (Please type or print and sign at bottom) ADDRESS ZONING ((Aix use) I ' 7; 80 POvJ( k AVg LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER t, I n (Name) WI (A brl 11 1 e, (S (5V ( 62 - (Phone) Q "/ q 6 - (Address) 5 553'1 APPLICANT (Name) Kline Corp. (Phone) DBA: Practical Systems (Address) 43428 Shady Oak Road Hopkins, MN 55343 (City) (Zip Code) (Contact Person) 952 -933 -1868 j r t (Phone) APPLICANT SIGNATURE _, ( II 3 _ A DATE g'-/. "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 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 PA of job cost with a $49.50 minimum Residential, New One & Two- Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes § 326B.148 Est $ t 5) Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ 4f. '' July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .5,0 v The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ -tom-- S¢. cc) is 5, beginning July 1, 2010 This Ap i , ' 1 Becomes Your Building Per a Approved Paid Receipt No. ►�— e) (0 Da f ©9 . r By SD � Building Offtiti Date s \ ' 1 ` 1 PS" 24 hour notice for all inspections (952) 447 -9$50, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372