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HomeMy WebLinkAboutPlumbing Permit 13. 0699 0 000000 13 0 > z _o 0 O O m @ - --0'0 0$ 0 q � \ 0 © 0 . a O kk\ k 2' E °z 0 0 \\ b r e m m 2 � a 0 . z _ � -1 1 t5 \ } 0 al S. � �k } M m cri 0 > z ? 7 0 0 3 \ 0 0 0 000000 1 - 0 CA M 23 \ 0 \ � � 0C /j 0 \ ® _ k ? 0 m > 0 00 �0 x k m \ \ $ § § r @ °° 3 © 2 c r § 0 - 2 § k p 0 2 : \ \ k 0 _ \ 0 �DDDOO A o \ J \ � i � q§ » 7 > 0 MM30 - R. > - ±" > i _0 % $ ƒ @ 0 k r 0 Date Rec'd Et 4 rRi P CITY OF PRIOR LAKE PLUMBING PERMIT Z. 4 -NNEel 1. Blue File 2. cold city PERMIT NO . I iD 4 9f 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) 1511 I fr m o )14 Pi LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (N e) crack r k! Si n( v o (Phone) g ' 0 - 2 r U 0/ (Address) 5 C( Yr) Li APPLICANTllas Connections Inc. (Name) 12 $50 Chestnut Blvd (Phone) (Address) Shakopee, MN 55379 (Addy - 5803 (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATU' .. L/1 i....... & . i DATE / • 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 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 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ liq STATE SURCHARGE A L� $ 38f TOTAL PERMIT FEE $ I 5 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Building Official Date 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 .)ni 2noibtinno3 sonsilggp, bvi8 !uni2sr!D ()east eveee k?M ,esciwistl2 E484- 4,4 -Ee8