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Home My WebLink AboutPlumbing Permit 15. 0183 E 00 1 n 000000 0 > 2n n n k 73 P3 o . 0 ggen28 z m k m58 o § r n 73 73 X � AC ■ § -i M 73 la q� M m m E � ■ cz ■ § . 2 § o� Q P �0 KS w ■ ■ n � z §■ k 0 \ ♦ + z 0 m q z q � . r o 1 - ■ m k 0 k '. ( -� OQOOCOm � 2 m [I: 1 , 1 ■ � � * s � ] cn o �- 0011 © � 2 § 01 5 \ �l1 I. / ZXXx � 7) z � , X tm g o z t o . r -n O O p3 � � 1 o § F.KI § . � � � P o A K \ ' ( O 2 o4.'1 � , O ❑ OQ h . 2. ' § % r '0W. 23 m -,H � 005g q ] „amm � § § , [ . -t r o Feb 271512:13p All Ways Drains Ltd 651-917-1850 p.2 O L rRro�, CITY OF PRIORDate Rec'd LAKE PLUMBING PERMIT -. 3._ �'., / 5 v �4rst► .. w Fct, PERMIT NO. tease t 3,Yeiipw Applirart a or �� and si;,at bottom ADDRESS 1c att �t � 1 •11arti1 �� ZONING ware use)�, { A c *7 LEGAL DESCRIPTION(office use only) LOT BLOCK ADDrON ElD 25._00r. 077. 0 O (NamWATERe) gf r�'�'or C�i-e)ti, h r t r 4 t-[- 6rvCt,1 U( !{Phone} (1 S-9— 4'M - L (Address) , S 111. 1 1...4. ` • , - ? c3-' , - l a- ' 7 7 i it Ar LI • r mg nir .4 (Name) ',. 1.. 1 s 4` its,y t'y Moe.. (phone) /11,7-.-3L-t r- 1 t 4 (Address) 1 6C-4014411 . kill rCLit-4- Chre Le?INS IN \CC-vl`1 ?� (Address)�� (City) (Zip Code) (Contact Person) }}0 CS �,X�t.,,�eeYlY'�`1a 4- eGT r CS // (Phone) Le 5 i-,�LIC�-' l.`7��4{ APPLICANTTSIGNATURE ....dear - (-____--- DATE 7 . °1:5----- 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(I or 2 compartment sink _ Sewage Ejector Shower Stall Backflow Assembly Sinks • Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet(Toilet) Other r rep,/i r ' C IG' rrn•119— c r tale- _ J - a)( de- 3/3/,S Tyle Minnesota Stat--res§3--.. .-48 F>�:E SG` EDULE "s fi tnn 1sota h Loll cost with a$49.50 mmirmnn Residential,New One&rwo-Family $149.50 been extended f Residential,Additions&Alterations $49.50 The minimum surcharge for a „fixed Fee"Permit is$5.00 $ Building Permit# •PLUMBING PERMIT FEE $ 26, 51 STATE SURCHARGE $ XVI 5.00 (Office Use Only) TOTAL PERMIT FEE $ 3 0,y� This Application Becomes Your Building Permit When Approved Paid ,sir"o, 2 Date D ,> Building Official Date J. 2 ! ' cl) 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 � 4646 Dakota Street 5 E,prior Lake,Minnesota 55372 5 i , '