HomeMy WebLinkAboutLawn Irrigation Permit #07-0724
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CITY OF PRIOR LAKE PLUMBING PE~rr .
!
D~d~rRec'~d
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(."~ 0 3 2007
~. ~I~w ~~icarn I PE~..~Q~:(}1:v1Vf.t
ZONING (office
use)
ADDRESS
t./ 3 L/ S-
(/ AP.sT/Vvti LCAJ2..
E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER KVf\) (YrP j-i Ie. 5
(Name)
(Address) '-134)
PID Z-~. :sOO. os l. 0
(phone) 9 s. .;J -;;;.;;J 6-. 5 ( G I
L ':'4'-" L
APPLICANT <: z.
(Name) /c
,
(Address) 01 hoc;
PI LvYf'l b i~ ~
I
/ <6 I .S-.. /11"f
(Address)
(Contact Person) J~e./;,v
(Phone)
jUt Oil) P ('<'1 t.-.Q
(Cify)
61;)- ~g-78cg' (Phone)
bl;; - 5.;2 g- - '7gc~
ntV' Sh~71
(Zip Code)
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
DATE
PLEASE COMPLETE BELOW
e of Fixture
APPLICANT SIGNATURE -
Quanti
Estimated Cost $ Building Permit #
PLUMBING PERMIT FEE $ 39 .$,."
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
'-/ r;) .~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid
.fO. 00
Date 6, (P. (,7
0.545:"/ (;
Buildin2 Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake. MN 55372-1714