HomeMy WebLinkAboutPlg Permit 01-0009
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CITY OF PRIOR LAKE 0 ~{p3
Applicant: I~N::T .PhoneP~';;j-
Address: ::, ~V J-, (1 ~, /h;/ Ifl A/aJ Iltp, r/1t-/ ,
Signature: tJ.~-e<J/( A~
Legal Description: Lot /4- Block / .Sub Gl-YIVWFtTCJe... ~
Site Address: 1sT)'; f!y,AI'okOV 1M
Building Permit # I}n- ()f3{p3 PID# 2.5-3'7- O/~- ~
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The Cenlt'r or the Lake Country
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Other
L)n ~
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CLOSED WITH BUILDING PERMIT
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ 2~ ~S7J
$ .50
GRAND TOTAL
$
fj l P:!!::.
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing C and the amendments thereof.
.3a~? RE . _1- 9. Q.L DATE
ATIEST
Call for all ins ections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer