HomeMy WebLinkAboutPlumbing Permit #07-0641
~ ~~ 0 000000 "tl e > -0
(Jl 0 :::t: ~ C z_
"0 en,,:;;:""" 0 C ~~
9 (l) o 0 s:: ::::jZ(l)~OO z "
Sl m me
0 ~ ~ !: ~>C:5:i~ m ~ m 0"
t::l :-! ~ " (I)
~ m en m zr>zcz Z (I) ::!"tl
~ o > Z ~ ::1(i)~(i) 9 o~
~ .... .... z-
-f m 0 - zO
~ > - o Z 0
o C/l en 0"
S .... " .... Z
- > <5 ::!>
~ (It o 0
0 Z .... Z 0"
." > 0 mm
~ 0 > Z ~
" r
r c
~ -t " "tl "tl
~ :::t: 0 ~ ~
~ m ~ 0 0 o~ooo
Z ~ 0 0
~ m m m m 5: en~5:"tl
>< m m
~ -t Z C C mr~>mr
en oC: -tOC:
a C5 Z ~ "tl :1:5: m:l:5: "tl 0 (I)
C/l m ,,!!!~~~!!! m 0 0
~ ~ "tl ::l 0 zZ:::t::::t:-Z ::0 Z ::t
::! m (l) -t >(i)00 (i) 3: -t m
:::!. <5
~ 0 () r"OO ~ ::::j ;u C
-t 0 Z -"" - c:
~ <5 ~ lJl Zc:c: Z r
i!="tl"tl 9 m
Z :-! m C
"
~ N 0
....
:::t: ~
0 m
~ c: 0 ...j t~
::0 0
< 000000 I
en m
~ Z ~ (i)""O~ ~
> z >;;;;0 '-
Ro C (i) ~mm5:(i) "
~ ~ _"tl"tl"tl~
~ Z ~>>>c
0 >ooz=i;
~ !Tl _mm-t_ -4
~,,~ r
....-_ r i
enz z m
....i!= (i)
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I Blue File PERMIT NO
2. Gold City . ...,
3 , Yellow Applicant ,
ZONING (office use)
t+-t:> IR ~ ~ L .cS '/J
~ z s1>
LEGAL DESCRIPTION (office use only)
LOT Z{) BLOCK
DDIT r LJ.'T'('" I ~.4. 1'"'> h · f,
A ION l,reen rTrJ " 'Il/V/V
PID a ~ -I 0 Z - 0 l2: 0
OWNER
(Name) k1'\(cE1'/
(Address) 53(P &7
3(1oJ -eer /CI"fP711;'tJ LTi'f"C-K ~ (Phone) 95;2 <(yo ;<~ 7-
h. '~LI'fIJ;V ShO/ft:.--:$. jJrl'o/'L ~ke /11/'..1 :37 Z-
APPLIC~ {J:r.+ fft ~.
(Name) e' Z Urn I /;/~ ~e
(Address) PO (5ox SCfff
(Address)
r:-:--
(Phone)
prior la/c--(
(City)
APPLICANT SIGNATURE
(Phone)
55372
(Zip Code)
152--292 ,,75'3 I
DATE 7--.2 3--07
(Contact Person)
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 Backtlow Assembly
/ Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) / Other FLC(J~ :'h((;'1I)V /FJt.'C';?t.,j (/JA
- 'VCL li-eJ-sh.;d-t?r7cl/a
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum
ct.Clf)j~d deck-
I.(;?
be
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
~7'''- 00
Estimated Cost $ .~ ::::J,
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3 J'r ~o
.50
~(jl 00
Receipt No.
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