HomeMy WebLinkAboutPLMBG 05-1173
THIS FILE HAS BEEN
CLOSED DUE TO
INACTIVTIY 4/18/2008
Date Rec'd
,,/-.. ,- ~
~ES;/
OF PRIOR LAKE PLUMBING PERMIT
J.~QUEST FOR FINAL
INSPECTION SENT TO
HOMEOWNER 10-06
::::~ ~:~ I PERMIT NO. OS. /11'2 I
{ellow Applicant J ,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
l::~~~~~
PID~. 515". ()67.6
(~) Ll9C1-(Q~~ I
LOT
BLOCK
ADDITION
(Address)
CULLIGAN WATER CONDlTlONING
6030 CUlliGAN WAY
MINNETONKA. MN 55345
(Addrm2) 933.7200
(Phone)
APPLICANT
(Name)
(City)
(Zip Code)
\PPLICANT SIGNAT
\ IIILJIC5
(Contact Person)
Quantity
APPLICANT PLEASE COMPLET
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
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 ~ ~
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
318:)
.50
Ln. CO
(Office lJse Only)
Building Official
Date
Paid ;:jtJ_
Date ?" eF-
t I- l(1 i J
Receipt N/O: 'j?J]' 7 '1
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