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Home My WebLink AboutPlumbing Permit13.0828 5 oO 0 000000 11 0 > E ® ~ 0 ■n �" 0 $ o � 2 \ ` 7 O 2 @ 2 § 73 _0 % m zi m 0 � tei \ ` E B� K 0 � m o 8 i O S N \ i t ¥ q z 2 § xi E4 . N — a o § \ © > 0 ► a m m z ■ r o NI ■ ; \` 3 "a T CN % m 71 0 00000 C.- NI x § M M ~ » mr- >® r \ .4 ioo k ƒ _%E §M m k k 0 2 G .. > 000 0 § z m 0 A z r -n oo § o M $ z z z r 2 m � 1) 11 P 0 / X P3 m \ \ ! ∎ < (3000000 q § > 732k§ § ®.® r- §§9 11 hri • a Fri tri § t 1( q m 73 p s § r $— & m O� pRtp Date Rec'd a CITY OF PRIOR LAKE PLUMBING PERMIT H V 4 r so'o I. Blue File PERMIT NO /// lJ �} 2. Geld City . p 2 _ 1 3. Yellow Applicant V � (Please type or print and sign at bottom) ADDRESS ZONING (office use) lei 7A 4� OantLe-t- A h .EVE • LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER l� k r r 5 b e VO C �Q (Phone) 44%3- S 9 7- 4 / d_ (Address) 4 4—,, - ? e , r/ `o r Q lc e U n .5 j 3 7 Z. APPLICANT (Name) G1?Q-»� d n ! to r')'i .Q /�pvr (Phone) 1' l- 3 4' - /3 y0 (Address) 3 6 7 0 / 1..)d do/ jCUcz ct c� 5 5 /a (Address) (City (Zip Code) (Contact Person) ! i'o ci (Phone) � - 5 - 3 134 APPLICANT SIGNATURE DATE 7 3 '" / 3 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 The Minnesota Statutes § 326B.148 6 Building Permit # "SURCHARGE" has been extended The minimum surcharge for a LUMBING PERMIT FEE $ 119-5 0 "fixed fee" permit is $5.00 TATE SURCHARGE $ 5. 00 . 'OTAL PERMIT FEE $ 4/ .6 o This Application Becomes Your Building Permit When Approved Paid Receipt No. ` is 41$L r� /, Q / By v Building Official Date Date //� /�.` 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 , .�ansg +...... ,_ ",U,a. s„,_.>x- .d:.�",}_ +. .� r , .;:..amwc- , a:r:;a�e. ° >+nna`•�::.�s�� pwr =. i :°.