HomeMy WebLinkAboutPlumbing Permit #06-0898
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec' d
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I, Blue File
2 Gold City
3 Yellow Applicant
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PERMIT NO. or,..()
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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(Address)
(Phone) #V - ~ 81 P
APPLICAN'V' . ~ 'I A ~---
(Name) 0~<<f11 7 JIn1?j ?J ..-t-,l./c-
(Address) v/v7 AllJ. 13it7ad!1Jt:fL1
(Address) I
(Contact person)~'11 t:U.fi11 ~ (v/~ -df5;). -tjt1tog
APPLICANT SIGNA TURFf[~dU{l ~ .'4
(Phone) q9-#';.). - 339}
.,: b /dt;f~ j/j) # 55352
(City) (Zip Code)
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(Phone) 7.:..,p- - -r /. ---::) 'I
DATE / /) '5/ tJ~
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
/ Bath Tub with or without shower Rough-ins
/ Dishwasher / Water Heater
I Floor Drain Water Softner
I Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine)
- Laundry Tray (lor 2 compartment sink Sewage Ejector
-- Shower Stall Backtlow Assembly
:2- Sinks Backflow 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
Estimated Cost $ 75tJtlJo
Residential, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
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Paid J/1J.' (ftI
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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