HomeMy WebLinkAboutPlumbing Permit #07-0401
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
5. Z-5. 07
I Blue File I PERMIT NO I
2. Gold City . 01 . 04-0 I
3 Yellow Applicant
ZONING (office use)
NW.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2..:>. 353. oL9. D
OWNER
(Name)
,7tcve COLMiV\5~
1472-6 ~'ny..,bt'k Wo l-f '-rr, N.~} .
(Phone) t: 12- 2-2. I 7241
V\lIOV Lake
(Address)
APPLICANT . .
(Name)-1) LfClIVI P,'o :PIUlA4l?l~
(Address) B 8 ( 5 20(1~ bt. W.
(Address)
(Contact Person) --J e~
APPLICANT SIGNATURE
(Phone) q 52- 4& q (0 C( q cr
L-a.\aVi lie 550'-1-4-
(City) (Zip Code)
(Phone) q,'52- 4&q & q q q
E5'2-1 07
DATE
)
ASE 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 (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink 1 Lawn Sprinkler 7'\1 PJ
Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost $_3 ct5 . 6 0
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
?.q r t;
V .J
.50
40.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid -to Cl ()
Date r.- 2 s.. 07
0. .
Receipt No. 5382.5
, ~
Building Official
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