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HomeMy WebLinkAboutPlg Permit 02-1425 O~/21/Ul lUC VV.VI ,.- . .lfiLl. V.~"".;jl,. ---- ;fjYRl~ ~(U~: ~ CIT i OF PRIOR LAKE PLUMBING PERMIT . . Dnt~ Rec'd . /0-z5'07 \.Dlua File jp..'ul.....'TNO ' "1. G\1ld City .&.:.lA-YU.t. .OZi;--I//...-,c- l. YolloW App\lt.IIIl ' I '-t" LJ (PIt!9te type or PMI : 1111 sjAA I\t bottOm) 1 ADDRESS . - \' 7 ;)-lP0 _ ~a vsM ~lJ . ZONYN"G (office usei- . - --- LEGAL DESC: IPTION (office use only) Ly1 PID I '~~ 9c; z . q85 -1k1~- LOT BLO( 1<' ADDITION (Address) P-Y2 ~ v4(} .r' ')OfA0-Q ~g.j4-b.dq?- (\- _-4 ICO (Phone) OWNER (Name) (Address) GU:r11~ "'J~t""'""--C -at' ,., ,s~'" ~ '"..,..- Fr., I lomng 1220'1 f\Ji:n;I,i, !f\3 Blvd. (Addrd~\nrlelOnKC.L iVII\) oo;;Uo (contactPerso: Kp ,( ~J1 /"l APPUCANT ':c GNATURE . "W-.t. · f f ./ / " U - APPLICAN PLE^SE COMPLETE BELOW Type of Fixture Qnantity . Bath Tub with or without shower : -Dishwasher :. Floor I5rain Lavatqry (Bathroom Sink) -Laundry Tray (lor 2 compartment sink ; Shower Stall ' Sinkg Bar Sink Water Closet (Toilet) (Phone) . APPLICANT (Name)_ (City) (Zip Code) (Phone) _.,~._ DATE IO(7.-J I ()2- Type ofFb:ture Rough-ins Water Heater 1 Warer Softner . ~tanrl Pine (W~th1nD' Machine) , CLOSED WITH SF BLDG , PERMIT PER KELLY AT ~ SURGEWATERCOND. . 2/25/03 Quantity ;. 'est L.__._..'.'~' FEESClIEDULE liJ(j'.~"tli~l. COlli nercial & Multi-family 1% of job cost with Il. $39.50 minimum Residential, New One & Two-Family $99.50 Re9idential, Additions & Alt~ation$ S39.S0 Estimated Cost $ IOD - Building Permit ## 0 Z -I t.J?::2" PLUMBING PERMIT FEE $ STATESURCHARGB $ TOTALPERNUTFEE $ 3q . "S:) - .50 wO . o.u i.-:-.':'."~':-':' ~j:~:. ~>i~;:)' / r;: ';;';,l \0"1 DetQ~es l' our Building Permit When Approved pai~ . C/lj Date 10 . 'Z,s: :cJL- . Receipt No. ~ .32"2 5 By ~'------., .._~-"- -.-~_....~~-"'- DlI~ !"!l~!~ll' l'; Ofilcbl 24 hCll,r notice for an inspections (952) 447-9850, fax (951) 447-4245