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HomeMy WebLinkAboutPlg Permit 01-0907 08~~1/01 TU~ 09:07 FAX 6~24474245 CITY OF PRIOR LAKE ~OOl ~ s~~: ~~~' Date Rec'd ~ll'i OF PRIOR LAKE PLUMBING PERl\ut ';) U' C/ ~ ~~ ~:~ I PERMIT NO. /) J. v....... .\ppll....' (/[ (Please twe or vrinl : lld sil1\ At bottom) ADDRESS . . APPLICANT (Name)_. Sur~e Watpr ~onditionin~ i 12201 Minnetonka Blvd. (Address) :.. _ I 5^d~~fteAltEll MN 55385 (ContactP=",: 'K...o~ p~ APPLICANT:~ GNA-~ rPf.A, APPLICANT PLEASE COMPL Type of Fixtu're Quan . Bath Tub with or without shower Pishwasher :' Floor Drain ,.. -. LavatQry (Bathroom Sink) . Laundry Tray (lor 2 compartment sink · Shower Stall Sinks -Bar Sink Water Closet (Toilet) v~B'dd Dr. $8 (iJM;(roQrC ~pj 'D62. (-b-rluYl. . (Phone) Cfsz.qgs.mi \ ~r . 208k:0 {.(P.~ vr. -tt-lbO ~D;1h S2. x-(i5fSO_ ) '7;)S~ - " LEGAL DESC:,' IPTION (office use only) LOT (t)BLO( Kl ADDITION PID~r/ 37;2-MS-~ OWNER (Name) (Address) I Quantity . (phone) (City) (Zip Code) -. ~~L.lp( , Type of Fixture & ~ f9 ough-ins ater Heater Water Softner Stano ripe (Washing Machine) Sewage Ejector Backflo'W Assembly Backflow Assembly .Test Lawn Sprinkler Other ...--." , FEE SCHEDULE ludt;~\l i~.I. COlli nerclal & Multi.family 1% of job cost with a $39.50 minimum Residential, New One &. Two-Family S99.S0 Re!lidentlal. Additions & Alterations $39.50 Estimated Cost $ Building Permit H . ~ - '. ~-"-~P)!~~~~:~'; ~"Oti\e.hjl Date ?A.~ - .50 ~(;)!) Paid 4D,OO DateR....1} 'J- -0 .I I Reeei~~~11 By ~. ... PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ {.~:'...;'. ,;..}:': ("i)'). hm Dwmtes Your Building Pormit When Approved ,-,-~--,,'--' ..-..""...........,.... ---- 24 ho"r notic:e for all inspections (952.) 447-9850, fal (95i) 447-4245