HomeMy WebLinkAboutPlumbing Permit #07-0591
:::::J 0 0 0 0 000000 "'ll 0 )10 -0
lI> 0 :z: ~ c z_
"0 ~ en"z""" 0 C ~~
Cll
g 0 !l == =izen~OO z m " mO
)10 0 " == ~)IOC3:~~ m " m 0"
r :-1 " Zr>-C- Z en :::!"'ll
r., r en m en -Iz>z 9 en
::.a t > Z "0 _Ci)-ICi) 0"
r., z-
-I -4 m 0 - zO
lC ~ Cii o Z 0
S cD " en -I Z 0"
co > 0 :::!>
~ (71 0
0 -I Z ~ 0"
" 0 mm
~ 0 ~
"
~ -l "0
~ :z: " \
~ m " 0 ~ 000000
z " 0 0
~ m m m m 3: "0 en:E3:"'ll
>< m m
-I Z C C mr~>mr
en ~ OC -IOC
~ ~ Z ~ "'ll :I:3: m:I:3: "'ll 0 en
~ en m T1~::O::O::o~ m 0 0
~ "'ll :l 0 ZZ:I::I:-Z " Z r :z:
:l m Cll -I >G'>OO G'> 3: -l m
::l. 0
~ 0 () r"OO " ::j ;U C
-l 0 Z -"" - C
~ 0 a lD zcc Z l r
Z :-1 m ~"O"O 9 m
~ " c
II.) 0
,..
~ :z: "
m
~ 0 0
C ~
" 0 ~~
< 000000
en m .........
:i! z " G'>""o~ ~
)10 Z >;ij;ij0
Ilo C G'> ~mm3:G'>
~ < _"'ll"'ll"'ll~
> ~>>>c " ~
~ Z
0 >ooz::;; ~
""i !T1 _mm-l_
~ ""::0 r ....
-1-- r i
enz z m
-I~ G'>
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
71'1) D7
~. ~~~~ ~:;y I PERMIT NO. 'f)"7 -1tCC l
3 Yellow Applicant , #' "i,;;;;I II
ZONING (office use)
&"365
frt/\J tVc>/\/ r /Z ~S. /~
,
P /2 It!> 12 ,L It I<-c:.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER'R
(Name) 7 t> J3 6./<' 7 -t- /V'" It e..e ,v
LA.) ~ .1.- 1)
(Phone) 952-.J.I-y 7- 4/ c>~.17
(Address) J"3o S >e.. p,e 10/2..). AE M 72
APPLICANT SR/v1E
(Name) /1-5 ,46D VE (Phone) S ~)V[~
(Address)
(Address) (City) (Zip Code)
(Contact Person) (Phone)
APPLICANT SIGNATURE .W~~ DATE c Z-CJo
APPLICANT PLEASE 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 )(" 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 $
STATE SURCHARGE $
TOT AL PERMIT FEE $
3Cf~~O
.50
Lfo.oo
(Office {ise Only)
Date
Receipt No. 5501{/
By
This Application Becomes Your Building Permit When Approved
~o~~-.1 4~ 7/~07
Buildin~ Official , Date
Paid
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714