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HomeMy WebLinkAboutPlumbing Permit 15. 0359 10 O II.I.1N n 000000 _ 0 > go n n 00 � . I m u'cam o@ m m so m0 cll> q mk to ■ � > Ekz " �m 0 72 2 r �� n q 2 gj 2000IQ r � z 79:.I m - / § Z � m § 2 r § 1.0 \ §4. § 0 72 73 X 0 0 ��� 000000 m m m m EMM * EM ' \ z OC -40 ri Pr mlmzzg m 0 0 % e m ƒ © > 000 Q ■ -I m dO A 0 \ r -n § o m q P 0 § z P. m , mm § m r o / 72 , X n 5E i `AO ❑ 000 o • 0 XI 0 § rnrn � § G § % > q rTi a § mm p -, "4 $ 5E ■ -1r o , pRlpDate Rec'd P501 CITY OF PRIOR LAKE PLUMBING PERMIT sdo Blue File 2.Gold City PERMIT NO./� 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) /187(s0 4--0 icite- K) . LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PH) (OIvaWNER OG71� ThP (Phone) chidl / (Address) IL(39-t (--jrpn.) NE 0 APPLICANT ;,+P'"°'9piOf) Plumbing (Name) (Phone) °`ems 000308 (Address) :., t -365-1340 (Addressk ,._ Dodd Road (City) (Zip Code). (Contact Person) a -_A MN 5512 (Phone) '�� APPLICANT SIGNATURE .0— o DATE qrx APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Ro Dishwasher I ater 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 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 Buildin Permit# The Minnesota Statutes§326B.148 '51-1. —� ' g "'SURCHARGE"has been extended The minimum surcharge for a JMBING PERMIT FEE $ .TE SURCHARGE $ .50 fixed fee'permit is$5.00 TAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid WM"-ceipt No. Baildin¢Official Date Date -' v,°l 'J 1 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 • 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 \ \C)1