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HomeMy WebLinkAboutWater Heater Permit #07-0730 3" ~ 0 000000 " ~ ~ -0 Ul :I: C Z_ "0 ~ 0 en"TIZ"TI"TI"TI 0 C ~~ g (l) s: =iZ(l)~OO z ::0 0 n m mO ~ 0 ;:0 3: m>c: C:O m ;:0 m O"TI , :-! ;ll; _'!j;:3:Z-I Z en ::!" t'I'J m Z -0- (I) , en en -I~>~ 9 ::.a t > Z 0::0 " - -I z- t'I'J -I -t m 0 - zO to .... iii en o Z 0 S cD "TI -I Z 0::0 go > 0 ::!!j;: ~ Ul 0 0 -I Z O;ll; "TI 0 ~ mm ~ 0 ;:0 ::0 :< ~ ~ -I " ~ :I: ::0 ~ m ;:0 0 000000 z ;:0 0 0 ~ m m m m <---. 3:"en~3:" >< z m m ~ m'~>m' -I 0 0 0C: -IOC: ::.a en ;0 Cl z ~ " \"' :I:3: m:I:3: " 0 (I) ~ en m "TI!!!::O::O::o!!! m 0 0 " :l 0 ZZ:I::I:-Z ::0 Z :I: ::! ~ m (l) -I C' >QOO Q 11: -I m 0 :::t 0 I"TIOO ;:0 =i ;:a c ~ () -I 0 Z -;ll;;ll; - Z c: 0 3- Zc:c: , ~ lXl ~"" 9 m Z :-! m ........... C C "TI ~ N 0 .... :I: ;:0 m ~ 0 0 c 0 ;:0 < 000000 ~ en m -Q :i! z C! Q"TI"TIO~ I ~ ~ Z >;;;;0 ---.. Ro Q ~mm1l:Q -J ~ m C ~ < -"""~ I ~ ~!j;:!j;:!j;:o vJ j ~ Z >ooz:;; ~ 0 _mm-l_ !'1 ::O"TI::O 1 -4 -1-_ 1 i enz z m -I~ Q ._.-lO. " Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT I. Blue File I PERMIT NO.Ol. 073Ll 2. Gold City 3. Yellow Applicant ADDRESS Ave NE ZONING (office use) )y ?:> ~ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 2~. lo5 n(,,(, , U OWNER (Name) (Address) APPLICANT (Name) Champion (Phone) 651-365-1340 (Address) 3670 Dodd Rd #100 t:~~lMMN)55123-1339 (City) (Zip Code) , ~ 0\ e ~ (Contact Person) (Phone) APPLICANT SIGNATURE '::> DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher I Water Heater Floor Drain Water Softner Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ J.Q) ,. (JJ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ :/1 . 00 .50 t-fO.VQ (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date Paid ~O., c' V Date 6.. " . G' 7 (~ ;0 j~1 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714