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HomeMy WebLinkAboutPlumbing Permit 14. 0300 1k ■ ■ u- c w � § vv � / ` .'"-' /!! 0 � a. Z o ■ www 2 « o w0 0 E 2 000000 ■ 4 ° o - w = 2 N i 0 0 z § ` ul k 0 § 2 § § � - 0 0 0 K L ( II z & 2 _ 222 $ , § CO§ la S 0 a � $ w � § x s \ � � � § � 0 ' 22 X 0 6 a ■ ■ � 0 Ce 2 0000 O 22 § UJ % O. a ( © k o a k I re o % ILI 5� 0 a - z ua § 8 § 01 - 0 . � k � � a \ § b § a@ CO g zo ■ � �z Q % U. co la 0Mt < la 0 0 0 U § /� 0 § 22 �2Ik o ■ 0 0 g O 5z 0 o a 000000 C.) O 0 £ pRI� v H Date Rec'd �4 CITY OF PRIOR LAKE PLUMBING PERMIT 4t Esoo I. Blue File /PERMIT NO. eL''.�// 2. Gold City / J) 3 Yellow Applicant /// (Please type or print and sign at bottom) ADDRESS ZONING(office use) 35°1 perA Tai I Tri LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER Nur (Name) V'f W1 1110 ROSU (Phone) 115-7- 7'11. 7 352- (Address) c9ri poi( -Tat 1 I r l APPLICANT (Name) Appliance Connections Inc. (Phone) 12850 Chestnut Blvd. (Address) Shakopee, MN 55379 _ (Ad )445-4803 (City) (Zip Code) .SZ(Contact Person) (Phone) Ar.Al • lb' , DATE N "L9 iq APPLICANT SIGNATURE PPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher I 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 t $ Building Permit# The Minnesota Statutes§326B.148 "SURCHARGE"has been extended PLUMBING PERMIT FEE $ The minimum surcharge for a STATE SURCHARGE $ f� .50 '`fixed fee" permit is $5.00 TOTAL PERMIT FEE $ 5'"7.5v This Application Becomes Your Building Permit When Approved Paid J 1, j Receipt No. 7//7/ Building Official Date Date V/// z._ By(1,-t --- 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372