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HomeMy WebLinkAboutPlumbing Permit 15. 0938 J OO n O ❑ OQOO ii > § n n n a 00 o a § g §kkk m w m / Poi n o � o ■ ■ ■ s r ■ ■ � � ■ � � -4 � co Z § EB § B P 2xl � � a c t 0 » d Cn il z Z' g 9 9 . .. q t CO 31 m z0 mm % 0 » I. ■ ; r o 3 13 % § 11 2 0§ i m qmm ; - 41 E00 * ® 0 E -4 § o o § mc K ? nc § 2 q § ■ § x § m r C K 0 Oo § § o mm q02 > g • 13 § 2q 22 -1 c 2 # m � § % § § c / s.!A m "N A n �_ 0 ■ 0 OOQOO ■ , moo : 1. @ a25 § § m v © r17 '01D ® �\ § m \ \ � § 2 zi • '3117 j k § o �� pRip /bate Rec'd �P CITY OF PRIOR LAKE PLUMBING PERMIT U \ W C+lrl brESD,tQ' `v . Bluetela Fatiley PERMIT NO. /37 .93e 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESSZONING(office use) 5t4C \ RZ(TjeAd aid C R 2-- LEGAL LEGAL7D-ESCRIPTION(office use only)x /�' LOT BLOCK ( ADDITION b cre r,t-1& q �"-•d// PID Z5-(46-00A 0 (N m ER 60 rd y CIO n (Phone) 9'53 " `C tO - I I 3 (Address) J`-V a DBC, ed Id Ccic( , Pri‘or (oke ( 7/U --?r2 APPLIC(Name)ANT O f5 9py (ccnCe. i (Phone) 9 -a ' `- I3S aq q a (Address) aO ` V CJV7 26, r`( IV ` 6urnsvi ( ( p, 33 (Address) (City) (Zip Code) (Contact Person) // eC ee ( (Phone)qG.R - -139'� 4 U / APPLICANT SIGNATURE . ,r,,, DATE • / 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 Estimated Cost $ Building Permit# PLUMBING PERMIT FEE $ 11(4.50 STATE SURCHARGE $ $1.00 TOTAL PERMIT FEE $ • 50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid4 Receipt No. Date �I c (c By 5 Building Ott-ficial Date ' / 24 hour notice for all inspections(952)447-9850 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372