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HomeMy WebLinkAboutPlumbing Permiot 13. 0997 5 ❑ ❑ �( 0 00000 0 - 0 0 > Z0 n 0 0 0 C ` - , z u � oo 0 m m m t, r ° 71 X 7 c mrn-c3_ z 73 N O tt m m y P1Y N z D z 0 to O ›o n z v _.,>0 z ? 1 N - 1 m O t o c n T . z ° z zo _ n 0 > 0 1 z - z n m rn m 0 (�\ m 4 f4 m \ � 0 X M X 7a 0 0 �t 0000❑❑ h., m m m m \N:\N\ 3 oN*3 D E v o \ \ x a m rI v 0 CO i o Yu (I -n X 71 - O z _CO z 7 z = 0 n 6 0 \ D O OO 0 3 -4 v o z ' ` � r - n00 73 .=1 c o 0 0 -n \ \ n v v O m r z m ' o A ` \, Z O m c 0 m t[700 ❑ ❑❑ z m O m n n m ° It; n 55 0 m R‘ t, 0 z v v 3 v A , 41 Z m 0 n s 0 W rti Dmmz - n m 70 m� -1 — -I . Z — r m Z � - N 1 r 0 r` 4 P114 Date Rec'd �' C OF PRIOR LAKE PLUMBING PERMIT /& f] v 4 r so* I. Blue File PERMIT NO 9(/' 7 2. cola city 3. Yellow Applicant lead ol,print and sign at bottom) ADDRESS 7! ZONING (office use) ,/ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID (Name) , D 1 (Phone) (Address) F LWANT y e • h Ad ._ L .0 (Pho - Address) ' �L 2- k I . 4 ; i 1- 4 ', ...ail- , . -17, 4 / (Address) (City) ' (Zip Code) •. ntact Person , I a . / d SP (Phone) / �-_) -ci - d' l � e - V 9Y • ' • ICANT SIGNATU • 1 :' , it ATE 9 / 2 / 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 1 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 $ Building Permit # rej "SURCHARGE" has been extended The minimum surcharge for a 'LUMBING PERMIT FEE $ "fixed fee" permit is $5,00 ;TATE SURCHARGE $ .50 COTAL PERMIT FEE $- 0 This Application Becomes Your Building Permit When Approved Paid S / S --0 Rec • t No. - v j 2. ___ Buildine Official Date Date 24 By . 24 hour notice for all inspections (952) 447 -9850, fax (952 447 -4245 4646 Dakota Street S.E., Prior Lake, Minnesota 55372