HomeMy WebLinkAboutPlumbing Permit #07-0316
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
5.1.07
~. ;~L ~~~Iicant I PERMIT NO. 07.031 b I
ZONING (office
use)
ADDRESS
57LIl
c (O~ o...r'\~ r ~
S"
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25"'.
OWNER \
(Name) c..Or'\ \"'\/ -e
K ex. \"'d ~ ("
(Phone) q 5,) - d S 0- J?5' 99
(Address) 5' '7'-1,
r 0.. 5\
f{ ;or l ~~~ rvtW
5"537;;)
APPLIC~.:r ~ A...,..L " , .
(Name) ~Hor'V\~ ,,~;l \---,t:.1o.'\'\.e Sef U (Phone) (y 5'/ - folfC;- )'040
(Address)7ro P\~C)r A0'((' rv. S~ PC'A-J fJ11\J 5'c:; J04
(Address) (City) (Zip Code)
(Contact Person) JCX~f\.. Lo....kUe (Phone) (p S- (. 0 4c;.-C; 6 (/0
APPLICANT SIGNATURE
DATE
E 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)
Laundrv Trav (lor 2 compartment sink Sewage Eiector
Shower Stall Backtlow Assemblv
Sinks Backtlow 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 $ ;; 00 Building Permit #
PLUMBING PERMIT FEE $ ::> <1."5 0
STATE SURCHARGE $ ,50
TOTAL PERMIT FEE $ '-I o. cJ D
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuUdinl! Official
Date
paid4Q.OO
Dates- . . 0
Rec~1t NO,S 34-34-
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