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HomeMy WebLinkAboutPlumbing Permit 10. 0249 5 0 0 0 000000 1 0> E fel n 0 7 000 . C M k 1 � 88 mz n . n k r rl A2 E m Z > Z 0 Z Z 0 § � % t -4 -4 § k 12 - -i z ■ to ® § ■ n z z m S. & q g -- ¢ % n z 0 ' z M M > o lit 2 § 7 ` ,C m 0 77 1,, . 77 00 000000 P qP s7 ■ ■II / § 0 � � ∎ © C =IO C & 2 % ƒ 2 ZZ z X ~ n k �` r §§ m / E tli 2 4 s . 1 1 r _ .0 P m / 0 * § M � . 0 0 m ` \ 1 k A NkOOOOO � R$ > o §k / 4 2 » o ® . v.._ "o \ � r, XI ƒcmm\ 4 . � 3 § � .4 to > z % m - r 0 Date Rec'd 'PRI°4 CITY OF PRIOR LAKE PLUMBING PERMIT x 0 41I4'NESO' 1. Blue File 2. Gold City PERMIT NO. i oz 3. Yellow Applicant , (Please type or print and sign at bottom) ADDRESS ZONING (office us ) 1545 tel O LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER \ ca.- ti/* cA a Nc_ (Phone) - 15)1 A-14 qq � (Address) I 6\416 - ,,,Q d OK' 61 APPLICANT ne) oC ' ( ' 1 3 7-(1/17 (Name) mil '' ✓ (P tone) illt 1 . . a s4i S 556Y3 (As dress) (City) ` (Zip Code) (Contact Person) err r °'— (Phone) J ^ � 3 � a y �, APPLICANT SIGNATURE 6 r \—' DATE Vs yJ 1/ ___k__ APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher I 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 ��1� .Residential, Additions & Alterations $49.50 Estimated Cost $ 1, I UU UV Building Permit # PLUMBING PERMIT FEE $ 99. S ° STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ g7) .lrZ) (Office Use Only) This Application Becomes Your Building Permit When Approved Paid ' .3 ce t o ( go st) Date Q CJ Buildin¢ Official Date . 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372