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Plg Permit 02-1345
08/21/01 TUE 09:07 FAX 6J24474245 ..-....--. CITY Ui< t'lUVt\ J.../uu, Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I i: ~~~ ~:~ IPERMIT NO,/! :l '.:2' ~ 3. Yollow Ap~\Icmt L ~ ,..... I ~ Lf d PIeB~C e or Onl': ad ,jp;tl dt bottom) (- ADDRESS ; /'i~:L- ~lj~lPM _2r-a;I J ZONING(,""',~) LEGAL DEsel" IPTlON (o_~' only), . 3;;t::r OdJ '1 LOT . BLO( 1< ADDffiON /J. pm ;; - ~ 1 OWNER (l'i2l.me) (Phone) qs :;? - Cfi 5 ' 1;)'7 (Address) APPLICANT S W t C d't' . (Namc)_. __ urge a er on Ilomng \ 12201 Minnetonka Blvd. (Adfue5s) _: Minnetonka. MN 55305 (Address) (Phone) APPLICANT:L GNATURE (City) (Zip Code) (Phone) q"SL- - q ~g - I ~O DATE (Contact :Person Quantity -. , -' , : ; .. ----.....-. - : L_ _ ___,...~~--.. Type of Fixture Quantity Type ofFb:ture Bath Tub with or without shower Rough-ins Pishwasher Water Heater Floor Drain 7 Water Softner LavatQry (Bathroom Sink) ~"A_A n...", (\U",..h;nn Mal':l,ine) Laundry Tray (1 Qf 2 compartment sink CLOSED WITH SF BLDG . Shower Stall PERMIT PER KELLY AT Sinks SURGE WATERCOND. Bar Sink 2/25/03 Water Closet (Toilet) - APPLICANT PLEASE COMPL TE BELOW FEE SCHEDULE ll!d,;~tl j".1. C01~' ncrdal & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations S39.S0 Estimated Cost $ /0 () - Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTALftRNfiTFEE $ 3q.~ .50 40.cp ~.. -:- -.,--...,--~-~... ....................--- !:!.!~~~:)\ l. Ofikbl Date '~L/O/~ Date D- (I:) ;-: .\.'.~'...~',-'.: '~):~~ <:':i;.::)' .._-_..~ -.-,-,.,....-;"..,..-,.-.,,-..- : ,~",;:, /' ~..:',;';ll lml1~ecQJJles Your Building Permit When Approved ; .".. ..-......-.............~.- ---- 24 hQ"r notice for 911 inspections (952) 447.9850, fax (951) 4474245