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HomeMy WebLinkAboutPlumbing Permit 15. 0630 u 5 0 D n OCOQOO o a � 0 n 1 o O ■ ° 13 � � ° § & § ■q ). o ■ ■ 2 kj31 c�28 2g m 5' A rn r 2 § ■ rn 3 •Er3E § $ �-0 k t 2 a § z m § � 0 2§ q co © 2 , ig g z 2 z s $ § \ f z § z E § 0 ( r_ I f m m fi r o - 13 % .m o X X N3 z x 8 ❑ 00000 / m z 0 a - mro > m6- $ z ? A mQ miQ ri § g ; 2 -0 2 0 Ek- ■ ■ 2E m 0 A § > 000 § 5 -' m r � § o o 2 2 7 § '�� > q m c 2 a o • r § � o p m / m i / S 0 c § m / ` O ❑ OOD 1 4 2 ■ 9 o Q kkk�§ cmmmm \ I. c WIoo \ » 7 ri gmm. F § cr ■ -4 , 0 e. OQ PRIp� ck54.50 • job332590 p0855525 Date Recd ,� CITY OF PRIOR LAKE PLUMBING PERMIT dtl sots!• I.Blue' Vile PERMIT NO. ^ 2.Gold City / / 3.Yellow Applicant 1 e ✓ (Please type or print and sign at bottom) ADDRESS ZONING(officeAuse) 5721 Maves Trail g)6i LEGAL DESCRIPTION(office use only) /_ Q LOT BLOCK 3 ADDITION 1 ,�/ u PIDj"Jcl/S y 03 (Name) 0 . • OWNER612-240-9440Israel (Phone) 612-240-9440 (Address)site APPLICANT (Name)Ben Frnaklin Plumbing (Phone) 612-238-9709 (Address) site (Address) ^ (City) (Zip Code) (Contact Person) Jennie Wood (Phone) 612-238-9709 APPLICANT SIGNATURE DATE 6/1/15 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher I Water 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 48 The Minnesota Statutes§326$.1 r joli cost with a$49.50 minimum Residential,New One&Tvo-Family $149.50 °SURCheHmARinimuGE`'m hassurcbeenharge extenfordaed . Residential,Additions&Alterations $49.50 T $ Building Permit# "fixed fee"permit is$5.00 PLUMBING PERMIT FEE $ 49.50 STATE SURCHARGE $ X)6 5.00 TOTAL PERMIT FEE $ 54.50 (Office Use Only) This Application Becomes Your Building Permit When Approved Old 54_w Receipt No. j (sC l,q 11Date� By Buildine Official Date 1S/ k n " l/ S 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 i i I