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HomeMy WebLinkAboutPlumbing Permit 14.0548 y 0 ❑ 0 0 n 0000 ❑ ❑ = 0 > Zc� o a o xi xi a 0 azHzioo 0 m xi c �4 ttl r m m 3 mrD- 00- m Xl N OM.19 01 z % re- ZZ -1 o �' oZ . Zz 1 z _°o x, > o M Dz lrm O o m .1 CiQ m z 0 0 m z 0 m 000000 CZ "� N v v '1 RI m � yrym � ,1 ocrgg��11 c Z X mm = 3 5 C 'm m -01 ,3 ,3 ,3 °'_ m O o rt, -4 o z r -ng0 xi 3 m O Z � r. cv v OZ m A o0 (� 0 = m S C) 0 t zm 0000 �� 1 z ,o712nOX11 -� \ N n m555it� . �--C 4 m >_ m rn Q - 2 F ( 1 ri Z m 04-3 6.1)\ • `.� 0 -- 7.-.6 (.2f--- -1 n Po Y-SU5(46 4 p}Zp� Date Reed CITY OF PRIOR LAKE PLUMBING PERMIT Eff '7,-,. i ao a Cee PERMIT NO. / . 1, "{ Q 3.Yellow Applicant Ii (Please type or print and sign at bottom) ADDRESSZONING(office use) I(-o ''2 L fY,ber (rr- 'k- \ CSC- f'21,1) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION � i� �� ez/ �t- /l PID „, ,,6—.41/ Oa`” 6 OWNER / q (� (Name) N \ C 6�� l a r( 1 L L (Phone) 1 5 0- - Oi( ^0, q7- (Address) \\C-e APPLICANT G (Name) Noah Acquistions.LLC (Phone) ora -az.y - o dba•Benjamtn Franklin running 1424 3rd St N (Address) Mmneapolia.MN 55411 (Address) (City) (Zip Code) (Contact Person) / a ► �. © CA 4hone) ' U APPLICANT SIGNATURE _.,—.41, ,�(`//, , DATE OAI If or or _ 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 The Minnesota Statutes FEE SCHEDULE + §3268.1"4$ [job:cost with a$49.50 minimum Residential,New One&Two-Family $149.50 "SURCHARGE has been extended' Residential,Additions&Alterations $49.50 • The minimum surcharge for a $ Building Permit# "fixed fee"permit is$5,Q0 PLUMBING PERMIT FEE $ / 5 0 STATE SURCHARGE $ XXX 5.00 TOTAL PERMIT FEE $ 54.. 5 0 (Office Use Only) This Application Becomes Your Building Permit When Approved . OEM Receipt No. Date By Building Official Date r. l 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 ♦ � 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372