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HomeMy WebLinkAboutPlumbing Permit 15. 0886 . k A7 ■ - k■ �s= ww ■ w t� \ � 0 IQ 0nyz f z § § k _ b § U t 0 0 Id § ....e% — 4641 . uLL ■ 0 - 2 ■ § 00000)( w _ . § \0 _ \ 0 2 w zcl W d § « ■ c 0 N k 1 ci r7 § 0 � -1 . z Q § 44 § 0 0 & 2_ reI § � ` 0 c k 1 § a © fw � � x ILIa. 6 z ® ■ Q � ■ co DC �� 7 ■ � � § § % {. 000000 § 2 § W % O. a _ ID I- , � rt Z w 0 `I . 0 < k 0 \ k § < R K § ■ 2 0 z U I- ® a ■ P a oz X22 6 I- < e I- I q a@ U) 2 20 ■ 5 2 L . © a ® O. w 0n4 § k k k § $ 0 § 0 u.2u. ■ ■ k 0 ■ Qu g Qz 0 0 a 000000 U ! .O O £ �okii. CITY OF PRIOR LAKE PLUMBING PERMIT Date Recd il AL3 4 Cr I. Bile File I PERMIT NO.Jg 2.Gold City /�,/! (Please type or print and sign at bottom) 3. Yellow Applicant (�/)(S//yyLf/ ADDRESS .Q ibZONING(office use) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID ( /--9zZ—OW -- ' OWNS' (Name) A A. 7 . % ► / '/ (Phone) Wc ?-.g910 '0Y�� / (Address) /a D ) APPLICANT (Name) :,-?.,,`' ^'ice Connections Inc. (Phone) (Address) 1.450 Chestnut Blvd. Witi@ppe, MN 55379 (City) 9 -445-480 (Zip Code) (Contact Person) /,III . 4 / / (Phone) APPLICANT SIGNATURE i— i DATE 42_271;1145--. APPLICANT PLEASE COMPLETE Quantity Type of Fixture BELOW Bath Tub with or without shower Quantity Type of Fixture Dishwasher Rough-ins Floor Drain � Water Heater Lavatory(Bathroom Sink) Water Softener S Laundry Tray(1 or 2 compartment sink e(Washing Machine) Shower Stall Sewage Ejector Sinks Backflow Assembly Bar Sink Backflow Assembly Test 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 $ "SURCHARGE"has been extended Building Permit# The minimum surcharge for a PLUMBING PERMIT FEE $ e r0 "fixed fee"permit is Sg700 STATE SURCHARGE $ ,il d /.Q d TOTAL PERMIT FEE $ 7 This Application Becomes Your Building Permit When Approved �j Q, �j a �+/ Receipt No?„,..*1/ Building-Official Date Date .." •) t c By 5 - 5".--- 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372