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HomeMy WebLinkAboutPlumbing Permit 13. 0736 = 00 n 000000 7 0 > 20 n0 0 �22�� 0 t o SO r 0 2 . g klcPC0 m m m §o O CI r o m r � z� m 0 7-1 ® Z § . - 4 2 § kt t 0 0 j 0) 0 Z $ Z 2 / \ « . \ o0 0 \ 5, \ 0 / k } \� m A - r o - ° 1 -4 m 13 13 • \ m 2§3 00000 § i mm c -o IT 2 §° ° 0 c ® ®C § § 0 i m $ § § P 3 $ § m 0 0 :- % § q > 0 _2 z m / 0 /, �ƒ2 - E § Z } q r- k§ P 0 / _ x c © 3 m 000000 | z . o 0 \ ' . / / 0 10 � 2 ) 6 ' 0 . � 7 777 F1 . m 2 ■_ - � r 0 m � § § ) 4 PRtp Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT N soc I. Blue File PERMIT NO . / 2 . Geld City ` � / J 'CJ � 3. Yellow Applicant �..J 3. (Please type or print and sign at bottom) ADDRESS ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ( OWNER DO Al COrDio (Phone) (Address) rytQJ APPLICANT (Name) Appliance C (Phone) (Address) 12850 Chestnut Blvd. (Ay� ' ' (City) (Zip Code) ' -445-480 (Contact Person) i /I �' (Phone) APPLICANT SIGNATURE II1l / t. / / , DATE 11249-013 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 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ . STATE SURCHARGE $ . " TOTAL PERMIT FEE $ 4 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid s s Receipt No. ° 9 7 Buntline 7 9 fne Official Date / By 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 .on! encitoenno0. e3nsiiggA . cv 8 iunteerf 0e8S, t a -NM .99gc» sr13 E08A. -af4 -SeeQ