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PLMBG 06-0713
In.,; ~ #' $ yo. 6l> THIS FILE HAS BEEN CLOSED DUE TO INACTIVITY 4/18/2008 Date Rec'd :ING PERMIT i:~1ow ~__I PERMITNO.O~. 07/31 ZONING (office use) 100 ~ Sf 5€' f(; (jY LJe- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER Ch (I) PcuJ qSt! - '/</:J &3CJrs- (Name) (Phone) r; A-5 r' (Address) M!xJ1/1:, APPLIC~ (Name) (Address) jo (Phone) (lJ 7t/b SS-cfs- jJlf ~5~ 33 ::} (City) (Zip Code) (phone) (;1 :J 1'1& 5~t./C -1--- 5/ - D& I APPUCANT SIGNA 11JRE T e of Fixture 'rodff 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 $ ( J. DO I DD Building Pennit # PLUMBING PERMIT FEE $ 30, :)D s.:r ATE SURCHARGE $ .50 TbT AL PERMIT FEE $ 4- 0 . DO Paid 4fj.00 Date a. 8, 0& o. ,!:t-Z,IZ- 24 hour notice for aU inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714