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HomeMy WebLinkAboutPlg Permit 02-0655 08/~1/01 TU~ 09:07 FAX 6~24474245 CITY OF PRIOR LAKE ~OOl Date Rec'd ~ ~~~: ~~~' LIl if OF PRIOR LAKE PLUMBING PERl\ro. t I. 8lue file \ PERMIT NO ' :l. Gold City . #) 3. YIlIow AppllCIIII L/ (Please ~e ornrml : lid ,i", at bottOm' ADDRESS ,? 3d4 J )l?-LY+;oJ(I\ Dr 1 LEGAL DESC:, lP'TION (office use only) . " d.' . LOT;3dBLO(1(. ( ADDITION ~;)'" PID;J,5~3?d..-D3J-p OWNER D /) {I ~/\ (7} (Name) I<. ot= r 0 () , (phone) -IS~. 'if3> S '7.)-/,~ (Address) ;J.r--At.;,0 ~fm.r 1 da{- r 1:-. J>L tQt'l I APPLICANT <:' _ A' - (\ d ' ~ . (Name) : .?I)X1f!- I~!/rlt(:r If'D'' (hO'(\'roe) QS2- q~a...(~0 - (Address) .i? 'U) I (\1\ If\ ~ '"'?JI, rl . yY\ , f'jf\I?...I:ztn.1a. <" ~ "'f') 1 (Addreis) \- (City) (Zip Code) - (ConlactPersoo \--<~ Q.. ,Lv ne) qS?-.q3A~OO APPUCANT:; GN^TU~~~r7~ 'L DATE ~ APPLICANT PLEASE CO LETE BELOW Quantity _., Type oiiixlure Quantity Type of Fixture . Bath Tub witn or without shower Rough-ins . "_: Dishwasher Water Heater " Floor Drain L Water Softner La'latQry (Bathroom Sink) Stand Pipe (Washing Machine) . . Laundry Tray (1 or 2 compartment sink: CLOSED WITH SF BLDO . .: Shower Stall . PERMIT PER KELLY AT Sjnkg , SURGE WATER CONDo .Test Bar Sink 2/25/03 L ____' Water Closet (Toilet) - FEE SCHEDULE lndtistl il.'.l. COlli nerclal & Multi-family 1% of job cost wltb a $39.50 minimum Residential, New One & Two-Family $99.50 /' Re!lidential, Additions & A1tcrati~.- ~() BuildingPermitH _ ' - Estimated Cost $ PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ ~,so - .50 UO. ~o'. !,_,____..fo:l.\!!~':l g Ofllcllll Dale \ Paid tJO ,dO ~ L-(-O~ \ ReCejptJ}~( 3 q BY~ '" (,-,,~;,~,:':;";',;~'h;' 1011 Becomes 'Your Building Permit When Approved !.~-:.,;':";. ';J:~: (':;;.;:). 24 hour notIce for sll in.peetions (9S2) 447-9850, fax (9Sl) 441-4145 /