HomeMy WebLinkAboutLawn Irrigation Permit #07-0307
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
5". Y 07
I. Blue File
2 Gold (,it~
3_ YeIlO\\ Applicant
I PERMIT NO'07 030)
ZONING (office
use)
/5336
tvtJod D~cl<
712./9 ; L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER.
(Name) j,/al Z>4,vO
(Address) /533c:' wood
(Phone) 9S-07- ({ l.f" " 1.;l.:l2..
,
Duell 7/21'1- / (
APPLICANT /
(Name) /~-t~/1t/ Z vA-/VelId L../L'1"'yJ
/
(Address) .sl bo Cj /& Is:. /JK
(Address)
(Contact Person) ~t-'l ~
jJ)",,,"b/#{I (Phone) 61.;) - S;>~-7S('6 (?
If.kw P/e;'j J p/jC/ S6P7/
(City) (Zip Code)
(Phone) ~/;J - J..?y--7YO ~
APPLICANT SIGNATURE
DATE
ANT PLEASE COMPLETE BELOW
Quantity TVDe of Fixture Quantitv TVDe 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 Eiector
Shower Stall I Backflow Assembly
Sinks Backflow Assemblv 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 $ Building Permit #
PLUMBING PERMIT FEE $ -:z95O
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 4tJ,Vl)
(Office Use Only)
Buildin!! Official
Date
Paiw --I/D
Date J..i d
o'534S
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714