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HomeMy WebLinkAboutPlumbing Permit 14. 0096 � � U t \ c) \ a$ k % § §toy - 0 ol 9552 z z t_ gaaa � % §§%K2 > k « U � � � U o k — tc 000000 i , ► / 2 L Z 2 / 0 k \ . . z amz ' I § i 2 t % E $ 22 ■ 2 \ $ E E oo � � $ ■ (11 2 $ 2 -2?27 , w2 § x � ■ ■a t i LS 2§w2§2 _4r a w w re z E o �§$ �a ■ � � E � t 000000 6 �%cl ~ f z k CC 0 k �, -,_ 0 < U k : % 2 0 •• i % / k r- c In 111 iii z ,W k �§ z � °2 _ -s s , 1 1 U « § , ir O /� la z 0oce2Z © O . a o 1000O110 4. k2 2 R :___ ____Z NV ui wH z fy 6. i V f' WWQZ00W 0Qggng.3 z ZI- ...4..., wc., a." cr. o o , pppppp 2 v. N O N w o rt m .' CO c ry �`n -� z U i rY 0 111 Z W ~ 000 < a ?to o 00 0 W m OC W W m LL W Wxlaws= Z iu X {s, co V a �WQ � W su = 0� li:c34344u�!! a2a a re fl 1 O Ulla OQ ' o N ._bO I0 itiot--... Z la N Oce Z (7000 N Z f rt OAC V c, act � N ci Z F za�< w 3 O U Ca C W w0 pOu.LL�Zrzit~n O I p c vZ a 0 za pppppp V ' ��O°�� • Date Rec'd ovRio4,1CITY OF PRIOR LAKE PLUMBING PERMIT . , I • /4— .,.� ,.tie V: PERMIT NO. Lt4VIV$50� 3.Yell Apy 7.Yellow Applicant 'lease E e or .riot and si:, at bottom ZONING(o[rice use) ADDRESS VP 1 Ill ��S 14162 Commerce Ave NE#600 Prior Lake LEGAL DESCRIPTION(office use only) PID LOT BLOCK ADDITION OWNER (Phone) 952.288.5462 (Name) Christina Kramer (Address) 14162 Commerce Ave NE#600 Prior Lake APPLICANT (Phone) 952-465-2031 My Plumber Inc (Name) (Address) 55345 Minnetonka 18948 Radford St (City) (Zip Code) (Address) (Contact Person) Mike Joyce j / (Phone) 952.465.2031 • A 0,' DATE 2/19/2014 APPLICANT SIGNATURE APPLICANT PLEASE COMPLETE BELOW T ,e of Fixture T i e of Fixture Quantic � Rou:h-ins 1111111111111111 Bath Tub with or without shower . Dishwasher 1111111111111 ��111111111111111111111 INIIIIIIIIIIIIIII Water Softener Floor Drain Stand Pi.0 Washin: Machine 1ININIIIIII1111111111111 Laund Bathroom Sink S and Pa:e E0ector11111111111111Laund Tra 1 or 2 coin►artment sinkIINIII 11111111111.1 Backflow Assembl Shower Stall ummingsmaimommill Backflow Assembl Test 111111111111 Bar Sink 111111111111111 , IIIIIIIINNIII Water Closet Toilet IIIIIIIIIIIIIIII FEE SCHEDULE oli cost with a$49.50 minimum Residential,New One&Two-Family $149.50 Residential,Additions&Alterations $49.50 The Minnesota Statutes§326B.148 11 "SURCHARGE"has Ileen extended The illinlinlutl]surcharge fora $ Building Permit# ______—_ \ "fixed fee"permit is$5.00 ��,-�Z% -PLUMBING PERMIT FEE $ I5.00 STATE SURCHARGE $ _ _' TOTAL PERMIT FEE $ (Office Use Only) Receipt No. . \ lo+ Beco +es +ur Building Permit W n Approved Paid This App J I, Date By uuticutie (ficial —`WZIONII 447-9850,fax(952)447-4245 24 hour notice for al pections(952) 4646 Dakota Street S.P.,Prior Lake,Minnesota 55372 •