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HomeMy WebLinkAboutPlumbing Permit 15. 0885 ƒ / r' }n 000000 U 0 > Eo 2 g A 22 2 0 p � B � oo g m o �q b O pt- ,T, 00 m m m mo r m ca ® m z � � §02 z $ -� / .� 1 q 2 $ -o- e co o■ Lco 7 \ > ••• . _ t 0 ' © ! 2A r 7 m ±7 z m 8 , m ■ ' 2 000000 -1 z � § m1- 1tmr ► © c mz $ RIT ƒ •n q § ■ § 3§ m 0 0 0 Z I-2kk .. k Z ii g o r-kk z gl /a 2 0 A / e• § ?pa $ '00000 > B ?2282 � §13 ® VUi C '0 § hl A >0m ■oE -1■ _ r at § K 4r 0 04 ?RI) Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I.Blue File JET b x.cera City PERMIT NO. 3. Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 012 3 0/1013 Lard /U l0 55372` pow LEGAL DESCRIPTION(office use only) / LO BLOCK 1 ADDITION c V Zg /* �. 441e6 PID ✓ - 3o 1- 1)070? "o O (NaWNER tV V S - hOVIA,p al (Phone) q5c -54 1 - 51 ! O (Address) 0173 0 l)VtO 3 La#t A.)( J 55 3 APPLICANT (Name) APP12850 lianCheGosnne in vo (Address) s! .{x.579 (Address) 444 y) (Zip Code) OF (Contact Person) L/ I. i r'1i (Phone) APPLICANT SIGNATURE is u .M.f DATE l l 61-44/c2-0k.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(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 The Minnesota Statutes§326B.148 $ Building Permit# "SURCHARGE"has been extended The minimum surcharge for a PLUMBING PERMIT FEE $ �o q. "fixed fee"permit is$540- STATE SURCHARGE $ 414940 /,eye TOTAL PERMIT FEE $ waaacc vac vuy� t This Application Becomes Your Building Permit When Approved a , v C r) Receipt Nt44' .to By Buildine Official Date r 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372