Loading...
HomeMy WebLinkAboutPlumnbing Permit 13. 0618 / w L 0 Zk e u ��cC § �zww o w � ) 5 ) k \ $§w)« z © \ < wu��o . 2 \ 1 00000 > • a 0 0 c 0 .4* 0 a s W � ' � f 22 ) z 0 R Co a '1 r 2 0o I- 0 0 0 _ ; S { Z■ 0 ƒ § % Q } 0 w § 0 0 0 3re §u. w « 0 2 0 a. / z 2 ® § §� § §§ 00 2 e o �, a2( w w w 000000 §§§ X $ j k z k \ �§ 0 § § \ k § 7 o z § § o �� c Z o z t... 0 o m ® e $ q c4 o < o1- $ 2 � 0 0 '� w �/ 0 -z) - �a cc " n 0 w W z oo 2 . 0 f 0 § r$ 0 0 oo § z ii § 0 0 0 E 6 ? 2 0 1 000000 0 goo ƒ rRlo Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 73,,!,..,.._„,,,,, t,, Ii„.NES.,0 1. Bone File P ERMIT NO. /3 .. U 6 / z. cola city !� 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS (� ZONING (office use) 357 _540n ___C,res P 14.E 553 LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) o GO f cQ Q y t V (Phone) 9s) - y 9(0 - ? g K g (Address) APPLICANT (Name) CULLIGAN WATER CONDITIONING (Phone) 6030 CULLIGAN WAY (Address) MINNETONKA, MN 55345 (Act452) 933 -7200 (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE i. DATE ,- b - I3 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 f 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 , st $ a00 , U0 Building Permit # The Minnesota Statutes § 326B.148 "SURCHARGE" been changed for one PLUMBING PERMIT FEE $ year effective July 1, 2010, until June 30, 2031. STATE SURCHARGE $ .50 The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ . 5 U is $5, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid A k X71 Receipt No. be Buildinu Official Date Date /J B 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372