HomeMy WebLinkAboutLawn Irrigation Permit #07-0615
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~ ~:~ I PERMIT NO. 0"1. oc.v 15 I
J. Yellow Applicant . .
ZONING (office use)
'::Pr io~r Lctk:e,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID z...~.o7o . vOlt. D
OWNER
(Name)
(Address)
ve-f.f 1=< ice
S27Bt Mct"toV Rd.. S E.
(Phone) q 5 L 4- 47 55 (1
17r i 0 r Lake
APPLICANT ........, '0 I....
(Name) Drtt11r1 =t..yo + (VVlAUJ
(Address) 8615 2.0 q~ at, W.
(Address)
0eMIA
(Phone) q.5Z- 4~ q
L-.a.JLeV i lie
(City)
(Contact Person)
(Phone)
{(;qqq
550l/-tf--
(Zip Code)
qSz- 40q "qqq
7.2-07
APPLICANT SIGNATURE
DATE
LEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher 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 l Lawn Sprinkler .{>VB
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 $ ,) q S , 00
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
--3CC . 50
.50
40.QO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid +600
Date '" , :], tJ 7
Receipt No. ~4- Z () 4-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E" Prior Lake, MN 55372-1714