HomeMy WebLinkAboutPlumbing Permit 13. 0536 U .r1.1 .I. VV. I"M1l.V S. 11 'a I JLJU1T1�l1:4 1," UJEJitH:ll a. \ - )'L.4 CA fr ?f1nui 158? 5' SCa, 1�
r,a IPER MITNOE / -1) 3 I
true �urhmt and situ abuttals* .._b.
ADDRESS 7,014E ((sitcoms
39O TYa/I Poi ,1 Ccsr%
LEGAL DESCIUPTION (*tax use only)
LOT BLOCK ADDITION PID
(Name) __. R g c 4 t V eji h' - � (Phone) G 12- 2�fg- 117 J
(Address 3 . o' Tmi l hi" crr 'ri '; ) 4 _ h Z
m _
APPLICAMT
(Name) e , �) �i, - .5` 1 - is s`
(Address) 2.0 , 4 7 " e. r 7` - (Iu '1,. 4 , , P ar .. ,r4. 4
(Address) (City) fib fie)
(Contract Pe on) (Phone) 3 2-0 -- 5 1-- 2.,x`4 5
APPLICANT S1 TURB r , .. ,,s, ./,.r'a DATE.
i Ado of
APPLICANT PLEB COMPLETE BELOW
! uand 1 ' of cture _x 1 m alit( a e of Pieter.
= Bath Tub whit or without shower IIIIIIIIIIIIIIIIIIII Re : - in&-',
Dewar War Iii
Floor min WaterSoftener
.Lava ; atturocun °) Stand Pi ®e , ", : `: Machine
La Tra 1, or ,,,:x sulk 111M , ector
Shower Stall lcktlow Acas•inb
Sinks Bac kflaw Assert Test
Bar Sink Illnall1111 Lawn Sa ' , . -
Water Closet tot ® Other
FIX SCHEDULE
industrial, Commercial & holtdd-17emit, IS of job cost with a $49.50 minimum Itesfdential, New One dt Two lamaly $149.50
(residential, Additions & Alterations $49.50+
Estimated Cost (7t) Buildltrg Painit #,
PLUMIB.1NG1 PERMIT FEE $ q .
STATE SURCIIAROB $ 5 dQ
TOTAL PERMIT FILE $ CI. - 5
(Office Use On ,
This Application Be eontes Your Building Permit When Approved . Paid Rxaelpt 14o-
obi n ' e' 44/4 3 $ - /--t -
24 hone natlee for all htspeedens (952) 447 -9150, fax ) 441-4245
4646 Dakota Street S,E„ Prior Lake, Mlrur esota 553
5