HomeMy WebLinkAboutPlg Permit 01-1423
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
/2-- ~,,()/
~. ~~ ~::y I PERMIT NO./'")/_ /~_/ 1"'7 :<1
J. Yellow Applicant VI' /~~
(Please type or orint and sign at bottom)
ADDRESS
/13//r / l~t}thV Av.efJU~ AI E,
/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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(Address) 1t./311 /7rn~iJ,.J/ Av~. tV 6.
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APPLICANT.. , bL -p b
(Name) I\JOr lC/YYl llJ.-'W\'~
(Address) 2105 GuwJ1':e-JcJ AVe, So.
(Address)
ZONING (office use)
Jl!...IS .0
PID 2.5-'130 - 0 B~" 0
(Phone) (9~2) L/17- 3328
(Phone)
(It,IL \ a27-1~3s
(City)
(Contact Person) (Phone)
APPLICANT SIGNATURE ~ ~~ ____ DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
(Zip Code)
12. / I~ /0/
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
l::t.,,,lrfl,,,,, Assembly
c\ssembly Test
lkler
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 2/03.
NO RESPONSE. CLOSE FILE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ 1 tJ7J ~
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3'1.$""0
.50
If/). (TO
(Office Use Only)
This APp~ur Buildiug ;-;u;~;7'ed
Building Official Date
pai40 . 0-0
Da,
1-' 1-& . () I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ReceiPt~//lq
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