Loading...
HomeMy WebLinkAboutPlumbing Permit 11. 0160 5 0 0 0 000000 U 0> E0 n 0 k o o 0 . � �Kk � ¢ m k 2 k r k k§ m / \ _�� � k 0 k % t -4-4 b m 0 ' � k ? t . K 0 q z z §■ b 7:1 » % >o - m o 73 r i3 / z x mm 2 f 1:1 II % 2 § § 0000 0 0 Z n O o \ zD0 m § 1 � ® § � z . m m © 0 il % \ (^ > c o o k O m 03 \ 2 r2§§ ■ . c Z r k 2 4 . r- 0 k � o - �\ C m s e' n — 2 . 'S00000 ' r % z ¢7 2§§ § 0 ® ZI Po' PO 1 < hl 0 '00 q m ���F 2 . § r t _ t m c .... , i ,,,, ( 0; RI Bob Norman Date Rec'd 9 0 5816 Prior Circle Southeast PLUMBING PERMIT 3 ' ( I Prior Lake, MN 55372 ctivivEso; 9524471294 1. Blue File 2. Gold City PERMIT NO. !f /b0 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) '53' / Li/ Prc"oyr Circle S LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Nam ER of Noy ma/ (Phone) (Address) 5' 5 prtc C oy ArcAt,Ge APPLICANT ` �( N olm ? lti , 2 `YZ (Phone) (,11 �2) t271ijO3 (Address) 2 1 0 �' T! e �� i t 1S ai o (Address) (C) (Zip Code) (Contact Person) (Phone) ( 11`1 t 97 '103 APPLICANT SIGNATURE DATE v// f f 1 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough -ins Dishwasher 1 Water Heater Floor Drain Water Softener Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compatllnent 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 - ;ost $ UIJt' Building Permit # The Minnesota Statutes § 326B.148 / V "SURCHARGE" has been changed for one PLUMBING PERMIT FEE $ year effective STATE SURCHARGE $ . - 0;i5 July 1, 2010, until June 30, 2011. , ,� The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ '! .�, is , beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid A_ rn Recei t No. / U */ Da B Building Official Date t e? /i r 1 / • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372