Loading...
HomeMy WebLinkAboutPlumbing Permit 14. 0610 J �r w I- Z Z I !r re � g55 = 1 > /Th Is_ 02ww (I) < — )c 0 rt r4 WV1i1i < • Z W Z O .— co r ❑ ❑ ❑ ❑ ❑ [ cz 11 to 0 r" rt xN / • V y C) 0 aaJ w c 0 �C CJ G vi. ri ci Z E 00EC -I P o 0 a- t) j P. o w Z w Z _ ISZ ? V c LII fn Q 'O" ai 0 a O° xwwmx �c E t3uvg u g p p co ~ a � 3v� a � , U U re LU Z 000000 w °o 0 i `C QJIp J J 0 < 0 O w ZO a o r4 co j 0 - z oz Pa F-z 1- a 1- I- aO 0 IzgJZ W co w o ° � NZ �a zooate ° Q a�N0 0 u. u. � ? �ivO O v v 1. 0av ? 0 O ❑ ❑ ❑ ❑ ❑ V CfY❑ ❑ 5 • gO Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 7, ( ( L so' I Blue File2. PERMIT Gold App y NO. ' / 3 3 Yellow Citnt fr / (Please type or print and sign at bottom) ADDRESS ZONING(office use) 4,2% &Ltiieu' De. cF fib LEGAL DESCRIPTION(office use only) LOT J BLOCK q ADDITION ettP—di �:,¢ - 7crc 3IJ1ID ,r7 3/(ts, O 6,, 0 OWNER (Name) 7ifl lag— (Phone)COG ...5C- 3E (Address) / a 7-(:2VILuf (Ai Pe, t APPLICANT plumbing (Name) Gh PC Q�00 (Phone) (Address) 651_ 51 365-1340 (Address) gad Road (City) (Zip Code) 3670©O%-a (Contact Person) MN MN 55123 (Phone) APPLICANT SIGNATURE � ✓ DATE (dc:37 //4 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher I L Q`Gater Heate) 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 Estimated Cost $ -5(4 Building Permit# The Minnesota Statutes§326B.148 PLUMBING PERMIT FEE $ "SURCHARGE"has been extended STATE SURCHARGE $ The minimum surcharge for a TOTAL PERMIT FEE $ "fixed fee"permit is$5.00 (Office Use Only) This Application Becomes Your Building Permit When Approved �,e Receipt No. I r. Date ` I , \4 l By � Building Official Date C-" 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372