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HomeMy WebLinkAboutPlumbing Permit 11. 0933 k \ 1k _ CI 6 a EL _ & Kk « ® 0 w 0 LU g�5 5z > ��ww 0 < % ■ o ■ ■0 z z § S v��o 00000)51 » > 2 , oOOOO 0 0 w Cr e 0 , ^ u. ~ 2 O. �� 'x z k k § § E ¢ §§� 1� 0 Q 4 ; _ z ce 7_2 0 a 0 a �$w��i a / 2 2 @ CO ti gUi2 §0 poi ® o a. § 2 § § § w , 000000 00§ z % U. a a 0 < § 0 § mw t- z . o \ 0 Z u. 9 % 2 § z © - z § § z .4 < ` Nr N a2 § 2 °§ �$ W § § d % LL 0 pz■ s ■ ILl 02 § § UJ E�$§k $ § 0 0z 2 0 1 000000 0 A 0 0 E. e VRio Date Rec'd 0). --V:. - � CITY OF PRIOR LAKE PLUMBING PERMIT I t !n n U 7 _ - 0 P �I�'NES � 1. Bloc File PERMIT NO . /) ` 2. Y City ( j . � 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS i 5 1 `� r 0 2. d.e,� � _ ZONING (office use) c.-L, LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER N a m e ) J Ifl t bi - uaw a r o ( (Phone) L9 is c4 O ) S� 3 (Address) 15:35 Stih r U � C ( ,e , Prt Cr L oJce_, APPLICANT - ll // LP -MY V1 ne,S Z,. P ttSni� t t I (Phone) 9 S 7 Y5 ` '7 LMY (Address) 1 +9 OW Vr O -e,.e_ 5� ! (Address) (City) r L (Zip Code) (Contact Person) ar IC • l d ■ 2 , ` `! / (Phone) �� S 7 y APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher ( 9--- 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 I% 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 $ Lj1j . S1) July 1, 2010, until June 30, 2011. STATE SURCHARGE $ 5". tlt) 38. The minimum surcharge fora "fixed fee" permit TOTAL P . RMIT FEE $ cy. S- is 51i, beginning .July l, 2oi0 This A s r ie: on Beco n • : t ding Perm' Whe Approved Paid Receipt No ` 1 Date By Buil . ■ e Official Date ' /Sit f r , 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372