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HomeMy WebLinkAboutPlg Permit 02-1347 08~~1/Ol TU~ 09:07 FAX 6~24474245 Cl'l':i Ul' t'.ttlVt\ J..JU~L> Date Rec'd CIT i OF PRIOR LAKE PLUMBING PElUfu l' . . I. 'D1ue file 1, GelId City 3. YeUow A~pl\W11 PERMIT N~~:::13tl1 \ 7(.m~~) (PI~a$C type or pOnt: lld $in'll\t bottOm) ADDRESS . /7_:J2-3 D€ef{R~ Id. -.t f-- . LEGAL DESC .; IPTION (office use only) LOT I BLO(K .;;( ADDITION IQ~'f2J() f{o.( +--On 1./ p~ 5 --3'7D- {t"J-/-bt (Address) c.+. t:r 100 (Phone) 9 {';} - q J 5"" - 7 d ? A La KfjV, J1~ iJL \ J, 0 ~ b () Ke. n h (; d_1 ~ I APPLICANT" (Name) OWNER (Name) Surge Water Conditioning 1 ??01 r.4innotonka- fl', j. Minnetonka, MN 55305 (Phone) q s;; - q.3 'l-- /g~D I I I I t-- \ (Address) :.. ...--' (Address) (Contact Fem" -*: ~ 11'1 ,:.5" !,' n APPLICANT:r GNA'TU~ -r~/ f (/- ?/-- APPLICANT PLEASE COMPLEIJ!. BELOW Quantity ;. Type of Fixture I Quantity -.. Bs.th Tub with or without shower -~ Dishwasher ~. Floor Drain . LavatQry (Bathroom Sink) Laundry Tray (lor 2 compartment sink : Shower StaB , 'Sinks -' 'Bar Sink . Water Closet (Toilet) (City) (Zip Code) (Phone) S~ . ,'lJ,t:- . DATE -._,)~l~ / o;J- Type of Fixture Rough-ins W ster Heater II )( Water Softner ~.....A "0..... i,,.,,,,.."';ft'l; Machine) CLOSED WITH SF BLDG PERMIT PER KELL Y AT SURGE WATER CONDo 2/25/03 Test -- ..- -._~"'.&"". FEE SCHEDULE lil(h~f.tlil).I, C01~1 nerdal & Multi-family 1 % ofjob cost with!\ $39,50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations S39.S0 Estimated Cost $ Building Permit 11 PLUMBING PERMIT FEE $ STATESURCHARGB $ TOTAL PERMIT FEE $ J q.f,"O .50 '-I () .-00 i.~:', ..:", .;. ';.!: ': ,>:;.::)- ~ \ Paid 46 _ ~ Rec~~~'(lo---' \ Dato/O -- /5 --:-(} ~I-.BY ~ 'J ..,. !,""," ;' 1'::";':<} 10';1 IJeCQmes 'Your Building Permit When Approved -,-~_",'~-" - - -..,.-....--~... t)!,,~E'.!!1 r; fJHid~31 Daft: 24 ho"r notice for an inspections (952) 447-9850, fax (951) 447-4245