Loading...
HomeMy WebLinkAboutPlg Permit 02-1344 08~~1/01 TU~ 09:07 FAX 6t24474245 CITY Ul' nUV1\. J..,Juu. Date Rec'd (;fli OF PRIOR LAKE PLUMBING PE~Ul' . . I. Blue file p .nT NO I 1. Gald City _ .t!,;1\.1T.u. · /.",.-,<.. 1-- {.:J 4' I 3. Yellow Mpllcanl " r/ V " J" (Please we or PM1 ; nd ,i~ a.t bottOm) ADDRESS " Z.ONING (offiee use) (Address) fJJi/)jot1o-Yi .../ . d-O~ {{Nli1ud10 @-. . (Phone) ~ ref) pwJi5 ' 3r f) j {)O if ~{j q -5 ~.cr<6S .1277 ADDITION OWNER (Name) . APPLICANT (Name) ; ..su.r:geWater Conditiol'il'lg ! 12201 Minnetonka Blvd. :.. MiflR~to1')l~i.es' 'sM)'I,J :;:;~S \AdOI (City) (Zip Code) (CootactPemo ~J~ -:J - (Phone) 'lS,-,QS>3./ee0 L@PLlCANT:tGNAT~E ~-7JI-C~.!.Jo/ DATE. IOhOf!}J--.> - APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity -r'fype of Fixture . Bath Tub with or without shower Rough-ins ~ .pishwasher -Water Heater \ Floor Drain I Water Sol1ner 1_ La.atory (Bathroom Sink) . ' ..onA P;ftA (W"hino M.ebine)- I .. Laundn' Tray (I 0,2 eompartmentsink CLOSED WITH SF BLDG I ' Shower Stan . - - PERMIT PER KELL Y AT I .-'Sink' -- SURGEWATERCOND. \ --' IIor Sink 2nS/03 L__.....--~, .:Nater Closet (Toilet) (Phone) . (Address) Quantity FEE SCHEDULE '0'''''' ".1. cool, n,,,,\<d & MnlMomily I % of job ,,,' "jib. $39.'0 mi.",,"'" R"id~~.I. Now 0.. & T wo-Fomily $99." Residential, Additions & Alteratlon$ $39.50 /?"'IO .,- Estimated Cost $ v Building Permit # _ PLUMBING PERMIT FEE $ STATESURCHARGB $ TOTAL PERMIT FEE $ c;;?q -W - .50 'LJo CP. " Dall:: Paid t( O. ~. . ReceiPfl~/ -" I Dato ;'" ~ d- By o - IS;-- /1/ - -" (, ~-" " U ..,. i.-~:',.; ".":. ":,):', (",~:.) ".~"' / 1';:',:':;1 !<;11 neCQ/.llCS 1:'Qur Building Permit When Approved ..___"_ _..._....~c_.-. t:U~~i.:~1 ~. Ofi1d~~1 24 no\\!' nlltice for all inspections (952) 447.9850, fa! (951) 447-4245 ........~ .....-.. ... --