HomeMy WebLinkAboutPLUMBING 06-1057
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Date Rec'd
CITY OF PUJOl) 1 A UJ;' DT TTlVIBING PERMIT
FILE CLOSED DUE
TO INACTIVITY
Sent Letter
JULY 10, 2008
t. Blue File
2, Gold City
3 Yellow Applicant
- !()51
(Please type or print and sign at botton..
ADDRESS ZO
l~@I)O ~..-KY,ew Lf\J f\)W 'c:io30c.;)
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
BLOCK
PIiA6- 43? -DOI-()
{(PIa) -
(Phone) ~- SJ~
OWNER \ ,
(Name) ..--,~ ' C\(J
,(Address) ~ As A~
(Contact Person) (Phone)
PPLICANT SIGNATUR(}n~~ DATE
APPLICANT PLEASE COMPLE6LOW
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)
APPLICANT
(Name)
(Address)
Quantity
CULLIGAN WATER CONDITIONING
6030 CUlliGAN WIN
MINNETONKA, MN 55345
(AddrJs~r2) 933 7200
(Phone)
(City)
(Zip Code)
\ lB.M1..o
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
(Office Use Only)
Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
Estimated Cost $;:::::)CJ(J 0D
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
:=rt .Fa
.50
L-ltJ. Q)
Building Official
Date
Paid t I 0, -----
Date I /
JI-d;), - ~
Rece~ ~o5l ~
Bt)
cr
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