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HomeMy WebLinkAboutPlg Permit 02-1346 OS~~1/01 TU~ 09:07 FAX 6~24474245 CIT'i Ut' t'.tUV.I\ Li\I\t:. Date Rec'd LIT i OF PRIOR LAKE PLUMBING PERlVuI' I. Dlue rile · ..t'TT NO 2. GOld City r ,Ji;1\.1U.J. · /)'.,- 3. Yellow Appllc.anl U (Pleasc type or 'Drinl : !ld $jll;tll!.t bottom) . ADDRESS . \ 1'35 (), D.vef_t i e[ d Df'l PrIor Lq(~ LEGAL DESC, lPTION (office use only) . LOT LfJ-BLO< 1\. (ADDITION A Q w;;~ ;) t-d u PID8-tS .- 3 -;;)-01'd --6 (Phone) qc;Z-. 9<rfJ.-7l72.... OWNER (Name) D:R. 1-1 () f ton (Address) i-t.:tf(;O 1<(T1br\(/{~C Lf # 100 ( L-q/~ ifni(, Y'1Y1 ~?Qu4 APPLICANT Surge Water CondItioning (N ,me) 122ll11>';nnetonk'llllvd. (phone) . q r; 2... 'i sf;. I 'ii 1(0 Minnetonka, MN 55305 (Address) (Zip Code) (Address) (City) (Contact PCl""'" -K; \(! p." J/. /'1 /Phonel . See...... _~PLlCANT :!. GNATURE i<2 Yu.-ffJ;---~.~~ . DATE 10-' 4 - o-z......- u.' APPLICANT PLEASE COMPLEl.li. BELOW Quantity_:,' _ . .Type or Fixture ~- Quantity . B8.th Tub wlttl or without shower :piShwasher :. Floor Drain LavatQry (Bathroom SiIlk) Laundry Tray (1 Qr 2 compartment sink : .Shower Stall Sinks -' "Bar Sink __.__>>.._....~. Water Closet (ToileL- Type ofFb:ture (';<.... iL_.. , CLOSED WITH SF BLDG _ PERMIT PER KELLY AT - SURGE WATERCOND. . 2/25/03 Rough-ins W ster Heater Water Softner ~. achine) st 1 'V......... FEE SCHEDULE jil.jt~f.\lil).1. COIL nercial & Multi.family 1% of job cost with!\ $39.50 minimum Residential, New One & Two-Family $99.50 Residential, AdditIons & A1t4;Tations $39.50 Estimated Cost $ Building P~rmjt ## PLUMBING PERMIT FEE $ STATE SURCHARGE $ ToTAL I: i1.l\MIT FEE $ ie{, S cJ .- ,50 /.-fa-cO . --.-..,----....... ft~~~~{~\ ~ f)nid~)1 Da~ r--. Palg,.. '. {.)15 l1 t1. Date ( t: D-'~//d . Receipt No. ?/?'R q~- B~, U ..---....., -.-~_....~-...-,-. - . ' , ';.,';,::.;' ;'::~;":;I !O~l Uet;Qm,es X'Qur Building Permit When Approved r::.<,,~.,'~ ',;J::: (':l~,n. _,_ ._u___'___-" .,-,...,......,.........,...----- 24 l\Q\\r notice for all inspections (952) 447.9850, fax (9Sl) 447-4245