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HomeMy WebLinkAboutWater Softner 13.1355 E 0 Clti, 0 000000 0 a E n o g 0 pz0F z m k 2 0 00 2 » o xi xi ■ r E z§ z .- 0 -1 % r m m� m § >■ §z 0 ■ o� k % © T cl �� z o § _ : § ■ .. z . l' n ; ! m z 0 m % § . § § m -o \ ._ % m m o§ 0001300 ..‘11 j ▪ m Mmm 1111:1 ■ -0 ■ *sue • z f �� �� §� m 0 ` @ § 2 13 e § � § � _ it n o r - § § 73 q c < tm Z \ m §vv 0 § k 0 m • 0 0 �� . C 2 QObcQ § g § ., � �o z ■o I v ® C § '0 k z ` g RI FA 1 ti t23 o a — 21 73 E § -s § 0 j' R . i r t r p • r Y _1 i is Date Rec'd ° , i CITY OF PRIOR LAKE PLUMBING PERMIT W 7 »r /3 _ 453-,3' \■...... x �,, car PERMIT NO. 3. Yellow Applinw (fie tape or pint acid sign at bottom) ADDRESS ZONING (office one) Al.? ? Ar4.0 Cotr7' Nw LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PM OWNER (Name), OWNER , I � OA T V ) 0 I y A rit 9 Ari ( P h o n e ) ) Y P q 9" ,27,2 J (Address) l x/303 PPir>_r, ale_ Co /Chi iii v11r APPLICANT (Name) I i) CCIAY■11 (0.344_ GAal `d cric . (Phone) 3 t7 S"� - 4 - -2yS1 (Address) 3,2S" 3 11-± oA AAA/ N7, $a)-l.r,71 57J',7S (Address) (City) (Zip Code) (Contact Person) US r r--it, Y\ e, (Phone) 3a n - ,r7) 9 31 APPLICANT SIGNATURE :;,7 ° DATE /e)- " 3 12 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 & Multifamily I% of job cost with a $49.50 minimum Residential, New One & Two-Family 3149.50 Residential, Additions & Alterations 349.50 The Minnesota Statutes § 32613.148 . w Building Permit # "SURCHARGE" has been changed for one year effective PLUMBING PERMIT FEE $ V 9. .S7 ) .July 1.2010. until June 30, 2011. STATE SURCHARGE $ (`:50` The minimum surcharge for a "fixed fee" permit TOTAL PERMIT FEE $ SI. V is S5, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid 26-- Receipt No. 74414 Date 0-1/6 By Building Official Date 24 boar notice for all inspections (952) 447-9850, fax (952) 447 -4243 4646 Dakota Street 3.E., Prior Lake, Minnesota 55372