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HomeMy WebLinkAboutPlumbing Permit 14-1342 5 0 0 0 000000 "0 0 > E n I o o 0 . § � K@�§ k �CO/ 73 Si Q r 71 0 0 73 0) m E 'E' o z ! 0 k� % t qq a& m § u,� � z- L ■ k § > . 0 0 ,_ -11 o Z z M m § II 2 r 0 k . . -I 13 X mX 0 Z % 2 0 0 r\ 000000 CC\ o \ z c) o mrrmr � m clE ? m Oe ::40C m 0 0 § 2 -0 ; § zZXX Z 3 Z k X § _ o z rmo0 m & �- 0 wa g : m . ( � � � p v 2 ■ q f 0 m c 0 li m 00000 2 k 0 © § 0mm . . 0.) f- R. 4, i qz , , , ,E -F � 0n 9 � mx2 11- m 21 § B 01 V R164' Date Recd CITY OF PRIOR LAKE PLUMBING PERMIT 4 soo ,.B1na File t PERMIT NO Fa- 3. z.oola City Yellow Applicant At (Please type or print and sign at bottom) ADDRESS ZONING l office use) 531 &i7'77 37L. $t-& LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER Tht'� D �� /l a, )191 - L001- I 09-- hone (Address) APPLICANT _,hatnpion Plumbin (Name) hone PC 000308 ) (Address) 1-:365-1340 (Address) 3€:70 Dodd Road (City) (Zip Code) (Contact Person) Fas.. t N 55123iphone) APPLICANT SIGNATURE DATE /I 2' APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher 1 ater Heate>7 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 $ Ar The minimum surcharge for a STATE SURCHARGE $ ,r17411 - "fixed fee"permit is$5.00 TOTAL PERMIT FEE $ —woo A This Application Becomes Your Building Permit When Approved Paid ipt No. Building Official Date Dater. ..(/`t �. 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 `^