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HomeMy WebLinkAboutPlumbing Permit 10. 0338 _ 2§ � ww� U ui \ \ti ��2 z ■ �kk7 a 0 w2 � � 2 < id u� 4 E ■ OOQOO > 0 tu m � 2 2 � lib . 2 e § z =§ a N . . k § CI 2 e ■ §§ § 0 § § 0 « p & l § a k § w go E3re§■ P w ` & § & a. l '") # � v § �� �� a a I- a a a7 K a.a - , / ■ ■ W OcOOOO :I CU % C'so / ill \ § W 2� I-z o 0 — 9 • § 2 $ % ■ 2 § » U C. ■ -, E a (3 p 01:4 z - a z ki � 2 r.2 § � 2 3 x ej § t2 © § �U w it ty §a a, ■ ct ■ °« o / ti 0 B 0 J2u.2 0 § § § 1. 5 ■ 4 0 a 0 OOOOO U t •c - ,L . O 0 £ rRro� Date Recd ° 1 CITY OF PRIOR LAKE PLUMBING PERMIT H g ilNNaso� !. Btue Fit Cite y PERMIT NO. 10 33 ✓ 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) l - 7 ` C y-- U • LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLIC T (Name) -U f. PIG O I 'a ✓an�a r. ((� ne) q 0 Li 1-- (0 -5^ (Address) 9 / (1 ' �1 r`��' (/ f I ■ L- aka YAK) " 3 , (Address) (City) (Zip Code) (Contact Person) S (,t S &-v ; (Phone) q " L P - 4 3 7 c l .i- APPLICANT SIGNATURE //LLLII . `I ,.. DATE �/ 3 f /d 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 1% of job cost with a $49.50 minimum Residential, New One & Two - Family $149.50 Residential, Additions & Alterations $49.50 Estitnated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved Paid 5 - 0 • v ' /3 l R t No. l Date / 0 � • Bultdine Official Date • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S,E., Prior Lake, Minnesota 55372