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Plg Permit 02-0902
08/21/01 TUE 09:07 FAX 6~24474245 CITY OF PRIOR UUtE i{&j viil Date Rec'd Ll f i OF PRIOR LAKE PLUMBING PERl\'Ul ~: ~~ ~~ \ PERMIT NO.A ')- 0 . J ,. YIlIowAPIIII"", (/ t? 7~ (Please type or print : lld. sill';n at bottom' ADDRESS t.'1~~b V~.p-f'eld Pr ' ZONING (oftl<< \lse) RI eX. }-/ d..' PlD ;;;-- '37J ,. D?2J- Q LEGAL DESC : lPTION (office use only) .' , LOi)3IlLO; K 1 APOmaN ~tf2 I ~~R r2 J. iJ-rr fn-r1 .. . (Phone) ~d-- . 0/65 . '7;} '7;)- I (Address) _: .2Dxv>~b-vid~ (Of-. -!: r M - APPLICANT (Name) C)UrgP WAtAr ~onrlitinning 12201 Minnetonka Blvd. ~AeteAlte, MN 66306 AddresS) (City) (Zip Code) (ContactPerso,: " /1. (Phone). Cl'S?q 39, 'I~() A:2T!LlCANT:~GNATUJU!Z~([-~J--t-F _DATE s;),10R4 q (')~ _ ;._ / ,. (J -r . 0 - . I \ APPUCANT PLEASE COMPLETE BELOW Qnantity__ Type of Fixtnre Qnantity , . Bath Tub with or without shower Rough-ins ~ Dishwasher Water Heater .: Floor Drain / ~r Softner . La"atQry (Bathroom Sink) St:md Pipe (Washing MachIne) -'. Laundry Tray (1 Qr 2 compartment sink . CLOSED WITH SF BLDG . S~\ower Stall _ PERMIT PER KELLY AT Smkg Bar Sink - SURGE WATER COND,. . Water Closet (Toilet) 2/25/03 (phone) (Address) , ,..-- Type of Fixture lSt - -- ..-....-*---...--.. , J!'J!;J!. SCHEDULE 1".","1.1. c.,i, norela! "MuIM....lly I % ,,/job ,." wi"" $39.'" minimUm R..-Ual. N... On." Two-Family S99.50 Residential, Additions & Alteration$ 539.50 Estimated Cost $ _l/">n - Building pennit # _ PLUMBING PERMIT Ft.E $ STATE SURCHARGE $ TOTAL PERMIT FEE $ /,[ 0 (}J - .50. 40. sO ..._~_"_ _rr_.................._I-. - \ .;..":,.: /, F'.:~;';ll Ion BecQJI\es "Your Building Permit When Approved , 1 \ DlI~ "Paid I/o r S-tJ . Receipt ~d55 t/ Datc~7~:JJ:-9d- B~ v ... r~:>,l':";' ~J::: {'~;l~:). nll!!~'!1 g OUldsl 24 hour notice forllll inspections (957.) 447-98S0, fax (951) 447-4245 -," -._..~---' -~-.__....-