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HomeMy WebLinkAboutPlumbing Permit 15. 0818 CI n 000000 le 2 nn O ■ ms 'imn o & �4 2 > 2 § m m>c2c0 m m m mo % '' m g ( m Erb §§ 2 = m $ -2; q q a 2 $ .1Q � Q P om M § o ■ X § / • d 0 \ § 7 § 0 " g k o a 1* © m q IC § 7 PO M k k k % 000000 m m mmcn ■ ■ - . 2 § ° � nc2 -10 � § § c ? m -mwmm _ § m 0 ■ e m G C) 0 EEzz - E ■ z = -f 0 0 rnO0 z § p m § z z m � c # > -o 0 b / x 0 z m •4; c § omDODO "q z § 11 oMn F. % 6 o U gmm2§ . 4 > g � ® zo , mmE � qm POlm ■ � r- 2 '4 m -4i 0 C/ Date Rec'd 4 p RTO+P CITY OF PRIOR LAKE PLUMBING PERMIT �1 A?./.� v \t01.0 2.1. Blue Foe � PERMIT NO.�5 ele Go 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) ) ) V't svAmoy Ered LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWER • (Name) (Phone) -Y)9-1-7 a /—k21 (Address) t 1'-1 Sovvir gild (Name) APPLICANT g�12 I IS l.L JhIJ1CS6 0 11 O`i17J (Address) (5-1-V1- iaJ 2k-4.4 11.(City) Zide) (Address) (Contact Person) geO—Ar'r /k (Phone) /- APPLICANT SIGNATURE ey'l/v" -/U"DATE 7 /C 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 1 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 $ Building Permit# The Minnesota Statutes§326B.148 "SURCHARGE"has been extended 'LUMBING PERMIT FEE $ 0'-P' The minimum surcharge for a ;TATE SURCHARGE $ / AO "fixed fee"permit is$5.00 COTAL PERMIT FEE $ $1/- SU This Application Becomes Your Building Permit When Approved Paid 5-7) sZ) Receipt No.0234_,_ Date Date---/ `4,., /r By de, Buildiae Official 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372