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HomeMy WebLinkAboutPlg Permit 02-1033 08/21/01 TUE 09:07 FAX 6~24474245 CITY OF PRIOR LAKE 141001 Date Rec'd CIT i OF PRIOR LAKE PLUMBING PERlV"l!" (Please type OT PrUJ ~d SiAA lit bottom) ADDRESS (Vh(~hh' e{e( Lane? ::;p" I~ clCo \ I. Dlue file \ PERMlTNO ~ 2. Gold City. . () .)-' J .~ 3" V.llow APDlIant " d- (0 vi ZONING (office use) R~ JAddress) (City) r< aLL I ~n)J L"-.! . -~_ (Phone) \ /J. &J!// APPLlCANT:fON...WRE / JY'1j' '( cf/7/ {&_"1 , . / APPLICANT PLEt\.SE COMPLETE BELOW Type of Fixture Quantity , Bath Tub wlth or without shower : Dishwasher ~' Floor Drain LavatQry (Bathroom Sink) Laundry Tray (1 Qr 2 compartment sink -., -Shower Stall Rough-ins -Water Heater I -water Softner . d_ "'~~_A nl_a. IW....h1na Mltchine) CLOSED WITH SF BLDG - PERMIT PER KELLY AT SURGE WATER CONDo 2/25/03 LEGAL DESC. ' LPTION (office use only) , , ' ~OT I} BLOC 1< J-:ADDffiON J i~r cQ. !f'1' ~'::~R D I2JJo(t<)(\ (5b rs Icy ) (AddreSS)_: ~"3w:. k.M1 b [ ;de( e C f 1l'-I(1) APPLICANT surge Water Conditioning (Name) - - . J nlo..j I 1 <!<!U I 1V1Il II ItHVI 1"0. UIV . ! Minnetonka, MN 55305 (Address) (Contact PCl'SO!:: Quantity "Sinks Bar Sink Water Closet (Toile!) _ ~__' .,__,_s........".....-....---. PID ~ S" ~ 3 fo- Q? :.r ~() (Phone) q S z-. ert>~ . I~ 72- '12.. (Phone) DATE (Zip Code) qs Z rq3!3 -I~ ~L'2D(D2_ _ I Type 1)f Fixture FEE SCIIEDULE lll'.h'r.tli<,.l. COIl, nercial & Mulli-family \% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations S39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATESURCHARGB $ TOTAL PERMIT FEE $ ':"'>,:',';':.1:': ':':;;;.} , '!"" /, !,,::i";;l !01\ ne~c;lJJleS "Your Building Permit When Approved ~,_._"" _._.r_....~__,.. ~~".-...,.~-_... Da~ t)t\~~.'!1 l. Oflkbl LtD CO , .- .50 Un s() , Paid '-/r2!.OO \ Rec~~~o'7.70 Date t'" )-'J--:D d-- By CI-G :J 24 hour notice for sll inspections (952) 447-9850, fax (951) 447-4245 __u______' ..-'-'="'~"" --