HomeMy WebLinkAboutPlumbing Permit #07-0098
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
3 L 07
~.:~ ~:;y I PERMIT NO. 07. 00 9a I
3 Yellow Applicant , _ [)
ADDRESS
'\. '?1 fir' YY\ '
LP .I vf.O 1'1 \ biAX') V
S0 fu~
ZONING (office use)
J<,.I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID l5. qoz.. 014-,0
fu~
(Phone)
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins --
Dishwasher C. 1 Water Heater f t\__~ \/Vl"'\ \
Floor Drain '7 1 Water Softner l V\i /I Ill/V }
Lavatory (Bathroom Sink) ..... Stand Pipe (Washing-Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
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 $ y l5D . fv
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ '~l0D
$ .50
$~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Paid ~().OO
Date 3 _ I , 6 1
ipt No. 5 l.8 7 G.
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