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HomeMy WebLinkAboutPlumbing Permit 14. 0182 w Zk � _] rc � ■ zo § « § 2555 § � k0Wkk z ] j N U � � 0 2 2 O ❑ O ❑ O ❑ cc �� o •� W _ 0 w \ a a. a � Z § 0 z MDQ w z f � x � � z § p t Ila - Z b Z - IZZ ' 2 Q w Cl) 0 a gfw§ g5 it!w / & § � Q ® � Q & � ® a �7� � � 22 § 2 oOOO 0 k k Lli Z % ' a a 2 I lif . ! § k o k w / °© z F- z 0 0 o re § c k k E z o� �2 co z 2035 z W k O v & ■ Rz ■ � au- /8 Ili 5 cu a re - Z §JE2z1- 2 te it re . k - cz ® § § o u. u. u. § ■ ■ o § S 2 Q Uz « o a OOOCOO U o / 0.---- - D ate Rec'd 4 VRiO4/ / CITY OF PRIOR LAKE PLUMBING PERMIT Ett° vg9 f i ()& \\\) (1 -O. Il 1. Gold Flee PERMIT N 2 bold Cay fESQ� + 3 Yellow Applicant !\ ZONING(office use) lease j. or , •,t and si:, at bottom ADDRES{`/`Si---- -re' LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION p (phone)- ()^�/l" �( / _ OWNER or c c' (Name) ��'� (Address) APPLICANT i (Phone) (Name) 1 C' (Zip Code) ! 41 441/ (City) (Address) (Address) 757— V t/ (Phone) (Contact Person) � � DATE APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW T ,e of Fixture Quanti Quanti T i e of Fixture1111111111111 Roush-ins Bath Tub with or without shower , . (Zip Code)IIIIIIIIIIIII Softener 111111111111111 Floor Drain Stand Poe Washin:Machine Lavato :athroom Sink Sewa:e E'ector 11111111111111 Laund Tra 1 or 2 corns artment sink IIINIIIIIINIIII Backflow Assembl Shower Stall Backflow Assembl Test 11111111111111111111 111111011111111 Bar Sink ' 1111111111111111 Water Closet Toilet ._ Other FEE SCHEDULE Residential,New One&Two-Family $149.50 Industrial,Commercial&Multi family 1%of job cost with a$49.50 minimum Residential,Additions&Alterations $49.50 Som co -1-- ?� Building Permit The Minnesota Statutes§326B.148 $ , i (� `L� "SURCHARGE"has been extended until June 30,2013, 3LUMBING PERMIT FEE $ �'f _`Jj J 0 The minimum surcharge for a ;TATE SURCHARGE $$ "fixed fee"permit is$5.00 FOTAL PERMIT FEE .. Paid � gicp ipt No. Ls Your Building Perri When Approved 4 , i51i This A 'c ion eco e Date ate ui inc Official 447-4245 24 hour notice for all inspections(952)447-9850,tax(952) 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372