HomeMy WebLinkAboutPlg Permmit 01-0908
08/21/01 TUE 09:07 FAX 6124474245
-..-...--' - -"
CITY OF PRIOR LAKE
~001
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT . ~
. . .3€1/-
N of} ~
I. DIu. File
2. Gold City
2. YalloW Applleuu
J '10 [I Wi l&er~ l rn.i j
J
LEGAL DBSc:t~ IPnON (office use only)
LO b BLO;:: :K (ADDITlON
OWNER
(Name)
D~ ~fc\on
dt2
(Address)
APPLICANT
(Name)_.
i
(Address) _:..
(Zip Code)
(Contact. Persol~
I
Quantity :
;
:
:
;
~.
-
1)pe of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
\ LayatQry (Bathroom Sink)
, Laundry Tray (1 Qr 2 compartment sink
: Shower Stall
Sinks
\ Bar Sin
~_ .____._~--: Water Closet (Toilet
.
Type 0 Ixture
est
FEE SCHEDULE
In.:h;t.tl jr.l. COil, nercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family S99.S0
Residential, Additions & Alterat\on$ $39.50
Estimated CQst $ ~
Building Permit If
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL :PERMIT FEE $ -
3Q.5D
.50
LJn ,cP
',-." ..-----. -.-.....--...
Date
Paid '-/D ,0 b
Date g -- d-()'. 0 I
.{.~:~,i.:,.:. '.~.i~~ ('::;.;.)
...___.......r........~-,..
; ':':',;., /":,,.:1bl Ion Becontes 'Your Building Permit When Approved
~ .' .
!
i
. - - - ~~:'; &Qincllll
24 hOllr notlee for .11 inspections ('52) 447-98S0, fax. (951) 447-4245