HomeMy WebLinkAboutPlumbing Permit #07-0354
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
1;i;. 17. () 7
~. ~~ ~:~ I PERMIT NO. 07 0:5.54-1
3. Yellow Applicant , '
ZONING (office
use)
ADDRESS
1(,73.2.. tu/IVV5(J~
"()r (,tt It-~ /Y1 tV
t.(,tIV~ S. e.
S-~37
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) S~EI'HFtV A". L;j\/i/E
/ n,.2 ) Z. 2- (, - (,9? J
(Phone) (. .,. ,;). ."
(Address)
I~ 7 :3 2 vJ fAJ /),$'or
rlO'" l-IA /C-l
7'2-
APPLICANT
(Name) S T5"jJi...~;tJ K'. LI"-J't;> E
(Address) II, 732. IJ (Nt> for (.tAl'Vt. S.E.
(Address)
(Phone) &s";l) Z 2-~ - t 9 J')
f1;r I () r t,A (4 /'1 IV' S- S- 3 7 ;2
(City) (Zip Code)
(Contact Person) 5:T5 jJh'f'N
ii'v/) G
(Phone) 9 S-2.
Z-2-& ~ 'J> /
Quanti
f
APPLICANT SIGNATURE
S--lt-tJ7
e of Fixture
I
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
D.
Estimated Cost $ Z S'""SO .- Building Permit #
PLUMBING PERMIT FEE $ .3 9. S 0
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ 1- o. cJ 0
(Office Use Only)
Buildin!! Official
Date
Paid 40.0 0
DateS.11 {,I 7
Receipt No. 534-4-7
By
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