HomeMy WebLinkAboutPlumbing Permit #07-0442
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(P.1.07
~.:~ ~~;y I PERMIT NO. 0>7, oAJL",1
3 Yellow Applicant , ' (. ~ f:t-
\~cu~l v~M (2e0
, vJ14t1
ZONING (office use)
R4vp
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS-. z,('L. 010. D
OWNER
(Name)
(Phone) lQt ?J . LU (1 13 Jtl 1)
(Address)
(Contact Person)
(Phone)
APPLICANT SIGNATURE
DATE
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Ma
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
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 $
TOTAL PERMIT FEE $
3~1_ ~
(Office Use Only)
Paid I-tJ," ,IV
Date/ "7
(; . d.A-
This Application Becomes Your Building Permit When Approved
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
11 4D )PO