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HomeMy WebLinkAboutPlumbing Permit 15. 1389 Z 2 k - UJw $ Iii b � j fo -- - 02� k § 2222 § 0 o E � ors § kiZI0 & z z :11. o % ' ❑ 0000 1 2 — 8 0 — Lu m m - ' \ z § § « CO 0 C G 0 , o 0 ci L-z E 08II -I o ti 0 2 \ Q ul I.- B 2111§ 3 ' 0 / | X 0 2 § \ § §§\ o GI z o w w x k a § § u) a � 0/ al 2 000000 § § 0u. k ar rm 0 § c) k IU 44 i z a R ¢ re R ■ © c $2 § § w q Z z -sZ & 2 ■ 0 C) - W 0R ui � § g �2sCw = O oo 02 0 0 Ju. u.2Ik e 00 g 0 , 0 0 5 § 2 2 o a 000000 U . 0'�` �04' Date Rec'd \. �� ` CITY OF PRIOR LAKE PLUMBING PERMIT -let yr 1.Blue File PERMIT NO. 1 — /3t q . GoCi 3. Yellldow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 17 O S 3 tut )de f v cS 'fi(- I _C -57 06 V) LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID &-S • 310- j1 .0 OWNER (Name) 1)1 C Imo. (Phone) (Address) APPLICANT ,+�/ (Name) Ro i/ 13�j ®w 0407 2 t -i (Phone) el/0 37''Z—. (Address) po 01 i Z c-i ,,.. ` 3 7 2 (Address) e(City) (Zip Code) (Contact Person) r'T`-- '4 (Phone) 6/2 1_-7cr // S 7 APPLICANT SIGNATURE ��� DATE 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 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 $ 4-cPL STATE SURCHARGE $ $1 0 (Office Use Only) TOTAL PERMIT FEE $ This Application Becomes Your Building Permit When Approved Paid Receipt No.cJ� /1.Jv Building Official Date Date l (i `3 t�y �, n , 24 hour notice for all inspections(952)447-9850 IL /1"Awa� 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372