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HomeMy WebLinkAboutPlumbing Permit 15. 0634 2 1115) § whk . �% v � \ \� z ■ O 2 j 6a § kq a f z § 0u. u � . © � ocOOO � 0 w x ` CO t Z 2 d a ° p 141 LU \� — /0 ■ _ 0 ci.0 Om \ B I �4 k ■ o 0 e 2OA to § X a - x ■ ■ - k S 2 § xw� §= Z / \ 222 � LU 2 2 w w a ■ ■ ■ a ■ 0 0 � z 000000 2 k 2 -.1 re < 0 u ci \ w 0 Z k 0 = CO IC) � 5Q p Qo " Z iii 2 Zo L © \ ag CO 0 Z0 _ � x � iz q k E �� ■ w kk'1 =1-§ r ° S S E /ui� 0 LU z x ���■ � ■ p * - O 2 U ■ « o a 000000 U sik 04 I'Rt0,� Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT 4 Sore* I.sole Filo z.cola city /6--PERMIT NO. t / (Please type orprint and sign at bottom) 3. Yellow Applicant ADDRESS / a ZONING(office use) �s3 7 ...,e- etrs Pcks_s 553 7 7 , LEGAL DESCRIPTION(office use only) `�'''' LOT l BLOCK 0 ADDITION /5)89/41Zi t;.�,I'rir9S U PID .?5- 386 Otis--Q OWNER () / (Name) R cube \i 7 tx..{-�0 (Phone) 0)0'7 - Lt 0 g — 3 00 (Address) APPLICANT (Name) L ULLRjAAN VVM ER CONDITIONING (Phone) 6030 CULLIGAN WAY (Address) MINNETONKA. MN 55345 (Addr2) 033-7200 (City) (Zip Code) (Contact Person) (Phone) APPLICANT SIGNATURE4 ., , DATE S- at -Is 1 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 I 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 $ .SD STATE SURCHARGE $ 1111C10 TOTAL PERMIT FEE $ .3V. 50 (Office Use Only) This Application Becomes Your Building Permit When Approved 1p id '� Receipt No. O al Dat; By Buildins Official Date i 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 AO 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372