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HomeMy WebLinkAboutPlumbing Permit 08-0833 . 5 ❑ o W N r 0 000000 i 0 G E0 N N -1, O cnmZ � m 'n O g v �4 n 0 O. 0 0 �� � 3 m > c$c0 m r m mo 73 A 3 r 3z -a N , ,.. 0 b m 7C 1:1 =. m N -4zvz 0 N 7-1 O -0 t=in n yZ v - v � v z � 0 , ,r,..„ n > o r z il -n '13 13 \ ri ... "--0 -' •, '•-••• o F-1:\: E -Dco * Emi '� m m m � mr Dmr % .1 z m v v 14 1 c\ - x i mzc -0 o /- x b 0 n O c v r z ^ 0 x z r _+ o z z4. m rev O ' v p N O 0� A O n � N \l1 ` 000000 _ m `� E = �r.� > 73 xO m < T A ; 5; ver 41 Z co > mm � 1 n � m � r (.....-V RIOT Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 7 41jNNEsoo 1. Gold File PERMIT 0 e33 2. Gold City NO.ea 3.Yellow Applicant (Please type or print and sign at bottom) ZONING(office use) 3-90 I 0/426,Na-L- 2'd op-, z4-.[- LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER �� 20 LL.e,J , Z 4/ - 2Z9-©, '/ (Address) S...7 D( C..--o,-,4,t-- 4.- 12- dam. '7".e.07.;L APPLICANT, (Name) 1-P.vt..Ll e.cA 101,4„....)6:_, Tr.;c . (Phone) 442-- -/e°.7 1 !9 L.. (Address) I te 1oO( LL i,✓o t 5 /9 I--.4,L/ea' L "CS-DVil (Address) (City) (Zip Code) t (Contact Person) R.1;../c- E 24 ....J o'''`- (Phone) (e l 2- - 84.1 - t 1 /2- ..4 :::::. 2- P APPLICANT SIGNATURE ,p DATE �D w o 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 e.0/41,1.. -/.;, o..+it 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 Of, Estimated Cost $ 6Q� Building Permit# PLUMBING PERMIT FEE $ i-4.11-) STATE SURCHARGE $ .50 TOTAL PERMIT FEE $ S—L-lti (Office Use Only) . This Application Becomes Your Building Permit When Approved Paid�� ir.t No 9i,/ Date/e.la c. Building Official Date , 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 411/ 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372