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HomeMy WebLinkAboutPlumbing Permit 15. 1113 e -1 L § § I ■ Z id ww � 2 �\\ 6 a _ \C M t$ §§ � 2 Q k � 2 ■ ■ � k--=.-_- .i DODO ❑ om ce 2 LO 0 o aa -I k 0 B O . � I- 2 0 000 < A k ,t I \ § = I- Le 2 _ xzg ■ w $ Si § . k 0 2 © fwccmx z • 2 2 § § S � § a. 2 4h, w w 1" w a ■ tea ■ ■ O ❑ ooOO N. a. re re 2 / 2 0 4 0 a t 2 \k o k ico k 0 2 - o la I- p i b¥ % 2 ■ w u•0 g re w §--z < tu . . & re roo 0 Cl)/'Li re o % 9. u.u.�§ I§ 0 a o o 1. 03 « o a 000000 U Oc 1.CITY OF PRIOR LAKE PLUMBING PERMIT Date Reiv,cd I. Blue File PERMIT NO. I 2.Gold City (Please type or print and sign at bottom) 3.Yellow Applicant ADDRESS 24 3 8' Co Ch es-�n rF-- Lam, NE_ ZONIl/ (officettse� � LEGAL DESCRIPTION(office use only) LOT 10 LOCK / ADDITION j�g i P� /,2,--ds 7 kialh) PID 26-3 D/0--- OWNER /D-OWNER (Name) ��1'1 `4` (Phone) `0 S 2�--�g (Address) 4?v C�hQ�{-f� -}- N 'r'Oi' Lcam(L.q , APPLICANT ! ' \ _Nuc 3-e LLC- (Name) L L (Name) ri G[GIM S Q h 1 VY�, p`V h1{�I(� i✓ 1 ��� � �U h v t I � Ni � � (Phone) 62(Z-?�S—GO(QCT (Address) 9 �� n t r } S� 3 ,2,7 (Address) kick--rw"03-f\ 1 (City) t`/ (Zip Code) (Contact Person) -�!� 4 002 (Phone) / APPLICANT SIGNATURE DATE q ` d 11 S APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Bath Tub with or without shower Type of Fixture Dishwasher , Rough-ins 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 FE Industrial,Commercial&Multi-family 1%of job cost with$49. 50 miE nimum 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 $ A qt Sd "fixed fee"permit is$4.00 STATE SURCHARGE $ pd TOTAL PERMIT FEE $ Sv -0 This Application Becomes Your Building Permit When Approved Paid Receipt No. 1),3(1 Date' Bai "�✓ ldine Official Date qi Z' - I ✓ g y 11 J 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372