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HomeMy WebLinkAboutPlg Permit 02-0175 08/.~1/01 TU~ 09:07 FAX 6~24474245 CITY OF PRIOR LAKE IgIUUl Date Rec'd LilY. OF PRIOR LAKE PLUMBING PEM/Ul . . 2-Z/,62- 'J IJ , . <. ,--1..0 r-. .- I. Dlue rUe 1. Oold City J. YIlIow APpllCIIII PERMlTNO. 02-0/75\ I - .. (Please Me or ~rin' : lid si<<n a.t bottOm' . ADDRESS .. " . \.--'- , ZONING (oIRce \I,e) 6'J.o/ D.urh'eIJ '~.;)&;' .. ..- LEGAL DBSC: IPTION (office use only) ----".' Pro 9; '7;}. - (] f. q. . . q5 "Z--q BS.7272-1 LOT BLOC K ADDITION - roWNER (Name) _ 1-O~r}/'I k'P~Ai ~7')?)V1"-. ~d~ lOt) I.a1.u.tJLr \ APPLICANT' C. (I "I)ra Li/ f1 - I, i '- A (Name), ~ff~ ..)I..4MJ.J. (nl'1i;;tJjJ.al'll 'Thone) qs 2. . q 3'7. (t;;J9'-{) (AddIes') l.1-z-2.0 \ M...i VI V1 p f-rn:.LIco ~V"} ~ C;C;3 Lf ~ , / (AddIoss) (Cl1y) (Zip Colle) (Contad~enor. ~tI. ~ - (PhonO) APPUCANT ~GNATURE _/~~.f ~ FIt: /~T DATE '2..\ Iq Jp 2- APPLICANT PLEASE COMPLEn BELOW Quantity lype of Fixmre Quantity -:. Bath Tub With or without shower : ))ishwasher . Floor Drain . La'latQfY (Bathroom Sink) Laundry Tray (1 or 2 compartment sink -'; Shower Stall -' Sinks Bar Sink : 'Water Closet (Toil~t)~__ ~cz. I.:br~ (phone) (Address) :.....J Type of Fi~ture RQugh-ins -water HellteE' Wswr Sotlner StanG fiDe (Washinlt MachiDe) CLOSED WITH SF BLDG - - PERMIT PER KELLY AT SURGE WATER CONDo 2/25/03 j .\ It \ t_.- .--. FEE sCHEDULE Ind\~Stlil.'.I. COllI nerclal & Multi.family 1% ofjob cost wIth a $39.50 minimum Residential, New One & Two-FamUy S99.50 Residential, Addidons & Alterations 539.50 .~. 'CO_ .50 ~. f~>,~'.-':. :t:~ ~~~':i~~:)' i:_.~;,;;';. F ,;.~;. ;'1lo,."05 V .ar Bandillg permit Whoa Approved 1 I Paid .4 O. 0 : 0 Rectli~?-. 4 'Z- _~___. _ 24.0....1:~:~~:)~7.::~~~~~ By ~. Estimated Cost $ Building Permit 1# PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL l'ERMlT FEE S