HomeMy WebLinkAboutPlumbing Permit 09-0607
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1. Blue File
2. Gold City
3. Yellow Applicant
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AUG 112009 ~
CITY OF PRIOR LAKE PLUMBING PERMI
\ ~~i3tiiJm~reS+ St. SE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
PID
LOT
BLOCK
ADDITION
(Address)
e
~.:;~tUnfjjOYJ PltMYllJioy _ . (Phooe)~S/r-3w5-164D
(Address) odd t24. I::'OJClf1 , tnrJ 5'012 3
(Address) (City) (Zip Code)
~J' I '
(Phone)W -q;~~-F5725
OWNER
(Name)
Quanti
. (Phone)
(Contact Person)
DATE
APPLICANT SIGNATURE
e of Fixture
artment sink
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $49.50 minimum Residential, New One & Two-Family $149.50
Residential, Additions & Alterations $49.50
Estimated Cost $ ~
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
'-IQ,50
.50
50. Df)
Date
By
(Office Use Only)
This Application Becomes Your Buildiug Permit When Approved Paid
Date
Buildin!! Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
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