HomeMy WebLinkAboutPLUMBING 06-1061
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FILE CLOSED DUE
TO INACTIVITY
Sent Letter
JULY 10, 2008
~ING PERMIT
Date Rec'd /"
II. z8 . Of'
~~~ ~i~ I PERMIT NO. f4. / 0 (p / I
Yellow Applicant , .
$5'tJ
e/<
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I:=~~;: 1;:1;::;
(Phone~->;t.., ~7- / q ...l/ 7
GI2 ~e
(Contact Person)
'(Phone) q-<;g--Y$-C;---7?1:j' ~
g~,(2/f).6I/ILle Jn~ 55337
(City) (Zip Code)
(Phone) 9'cs-'!l-4" 3 S- 7!?,Q t:J
DATE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher / ,,"Water Heater .:::>
Floor Drain Water Sotfher
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39,50 minimum Residential, New One & Two-Family $99,50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
(Office Use Only)
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
39. .:>()
.50
4--0,00
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid
+O.~O
Date f.
I . Z,8. Ore.
Receipt No, 5 z,{, 77
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