HomeMy WebLinkAboutPlumbing Permit 15. 0651 W 2 J F-
1y ^
J a' LL `v
oZCWicWi < ZD
�g5z ‘ ...).40>
iUj
'^ o ww Z W
�<14 �y u/ 8V titr0
3 .1 4- T 0 0
-+P r W
S 0 CI
IL 2 » < )O O a e
1
co.
0
O. LL N
_la Z (� 000 < X 2 0 0 44
y o 0 a m=W �mLL Yj o Q o a,
V o c a a 6
DVF- � V _ Ice 3
O ?
a � 3Ha �E W W Z Oa
n 0000 ❑ ❑ �: x
i W dill
a W RL
• v
zit
J� O O
W W d a LL = 'C
V 0 } J F-
gte p ► O O < v O W
01
CZ (�J
liz z C) U)
N a 0 Y
au. � h o LI co Z y V 0 CO tWay
OW CO
UI W W 0ZX= -W 2 of V 111
_ 4C t, oC
tN 0 0 IOiUO. U.ZIa Y a �_J1 W
z p o
v < 0 a 0000❑ ❑ 0 O v v v V
❑ ❑ c
4 O PRIO4 el1~
CITY OF PRIOR LAKE PLUMBING PERMIT Date Recd
611,c, /r-'
I.Blue File
2. Gold City PERMIT NO. /57
0
'lease p or ' t and si a, at bottom 3. Yellow Applicant
ADDRESS '
\(oL �Ob C,(�-� use)
" ZON]NG(officee)
LEGAL DESCRIPTION(office use only)
�LO3 BLOCK t ADDITION
3ER 41O '-O
(NaVVrNER L' �`` �
J h `1
(Address)� `�� '�c,1-.) (Phone) ��0-1 � �3
j
� 1 ,of Lo, AtIv 3 7.2,
APPLICN 1
(Name) A 'h vv. v� V1M\o, /'
1h (Phone) S I 3`D5 13110
(Address) 3 dol O 1 R •
(Address) �� I a3
(City) (Zip Code)
(Contact Person)
(Phone)
(40
APPLICANT SIGNATURE — Ad O 2 a
aro-
DATE
APPLICANT PLEASE COMPLETE BELOW
ErEr2=1 T/,e of Fixture
Bath Tub with or without shower T/ e of Fixture
�� Rou_h-ins
Dishwasher
Floor Drain
Lavato :athroorn Sink Water Softener
Laun, Tra 1 or 2 corn s artment sink - Stand ePe ashin: Machine
_.. Se
Shower Stall Backflow ssembl
Bar Sink _.. Backflow Assembl Test
Water Closet Toilet '
Other
FIndustrial,Commercial&Multi-family 1%of job cost with a$49
.50 SCHEDULE
DULE
minimum
Residential,New One&Two-Family $149.50
Residential,Additions&Alterations $49.50
The Minnesota Statutes§32613.148 )St $ •a a Building Permit#
"SURCHARGE"has been extended PLUMBING PERMIT FEE $ 0
The minimum surcharge for a STATE SURCHARGE $ .•
"fixed fee"permit is$5.00 TOTAL PERMIT FEE Ga 40
This Application Becomes Your Building permit When Approved pd �,'�•
Receipt No. j /7 q
Buildin¢Official D. By
Date
24 hour notice for all inspections(952)447-9850, ax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 14
/