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HomeMy WebLinkAboutPlumbing Permit 15. 1316 J 00 n 010 0 0 0 11 0 > 20 2 000 . c § ■B O0 g m m o/ c m m n to k /•, . � m Z >Eoz 8 ® �13 % �� & cno �� 0 zk . �. n .. . — 0 k1 > 0 �� - r % 71 0 r z - I. ƒ \ • % f 2 § § 0000007- - m m ir I- m � . tm � .. * co xC P3 73 m o t r(-1 2 - F ■ / § kk � � k 0 0 0No ( Z zXX z r § 2 m ' � � � P L § * 1 0 & m q k0 ca OO ❑ cOc y x Q2211O § »o R. v 0 CmmE0 23 Z , I /k 0 0 E r � 7q xi � � 2 a z - -4r 0 t t"I • Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT l�.:z z A5-- d5� B'"` PERMIT NO. 2.Yell 2:,pp /'/5/6 3.Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) k t: t.\ WodiatfAu\o ,,tu E 533 / s4 LEL DESCRIPTION(office use ) LOT O K DTTIO PID 2.5-- 9-.z J 4)6?-0 OWNER (Name) N /-4 V011 N 'W l LS011 - (Phone) '95 -445-44(.3 (Address) 3 a N , APPLICANT (Name) Appliance C©i1Fl iOfl Inc.vd. (Address) Shakopee, MN 55379 (Address) 1 952-445-44W (Zip Code) (Contact Person) 0: f t .i eiP . ) `. (Phone) APPLICANT SIGNATUREI_ DATE CM I • 'PLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture . Bath Tub with or without shower Rough-ins Dishwasher 0 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 4147 The minimum surcharge for a .. PLUMBING PERMIT FEE $ "fixed fee"permit4s ,r.98' STATE SURCHARGE $ L / /100 TOTAL PERMIT FEE $ -C/ This Application Becomes Your Building Permit When Approved Paid Receipt No. ?--d-- Date By ••Bundin¢Officialnate � .�� V) _ • 24•heir.notice for all inspections(952)447-9850,fax(952)447-4245 .4646 Dakota Street S.E.,Prior Lake,Minnesota 55372