HomeMy WebLinkAboutPlg Permit 01-0906
08~~1/01 TUE 09:07 FAX 6J24474245
CITY OF PRIOR LAKE
III 001
Date Ree'd
ell i OF PRIOR LAKE PLUMBING PERl\tUI U
~n
fJ
I. Blue File
2. Gold City
3. Yellow "",1IU111
(Pleue tYPe or prill! ; lld ,i&l\llt bottom)
ADDRESS tilt{ fp
(Address)
SUFfl9 ~.'ater COAEiiti9Ring
12201 Minnetonka Blvd.
~Kli~I\Cl, IJ.I ~ ~u5
(Contact Pers01:: ~ -eJ..jL{ rQ..,Y.. ~
APPLICANT:~: ONATU~_/~ ~;X;
, ;- - ,. v ',. ~
APPLICANT PLEASE CO
Type of Fixture
. Bath Tub with or without shower
: Dishwasher
:' Floor Drain
. Lavat"ry (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
: Shower Stall
Sjnks
Bar Sink
. Water Closet (Toilet)
~Y1 meodOtU &ve
mOOA-'1Jce3vC
D t<> kin r toY) _J (phone) (/ <"") -~~ .72-1. z..
io):': k:- k€:i:J or idsr- (pj.. 'II /lY? - r41",.e >>ib..u '
a:g-/?r30
PID",IS- 573-6 / ,f-~
LEGAL DESC:. I.l" nON (office use ollly)
LOT cr, BLO( :Kd-ADDITlON
OWNER
(Name)
(Address)
(pltone)
APPLICANT
(Name)
(Zip Code)
zt Zp:Y/":
Quantity
Type of Fixture
L-___
FEE SCHEDULE
lnd~istlial. COli, nercial 8r. Multi.family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.S0
Residential, Additions & Alterations $39.50
Estimated Cost $ ~O -
Building Permit 11
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
aq ~-o
.50
.Lln 00
(\~'::n':~ 'iJt~ On~~!).
Date
l/tJ,06
<i'/ ;J ;) -U I
Reeeipt ~O 371
Bgr
[--'r;"\'~~\F:;lb;' ion Becomes Your Building Permit When Approved
!
I
I
Paid
L_
BIlII~l" g Officllll
Da~
24 hour notice for .1\ inspections (952) 447-98S0, fal (951) 447-4245