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HomeMy WebLinkAboutPlumbing Permit 15-0099 .41 ) I O A. 0 000000 -0 0 > 2 n I © 0 K . E gz�� 0k k m n n 73 mi. c o k r m k x al m Br \ � k ■ § §� % t . � � q m 60� 0 �k .. k ■ � . 0 % § 2 Zq Z J 0x m 4.11 2 r k k _ 0 § m o 72 x 0 % z ■ R R XXQOQOO 43 x m m m Er ® ■ ; 1 ) § 0 43 0 � -10S 7 xs m ■ s 0 ■ , 2 T ƒ § 2 § 7 § x § § 0 5 2 NI _, o z rmOO c § 2 4 § � � � X Stk S § . ��� cl m / ' QOOOQ o 22 � � t); §© t) cz § R. C c -0 -o � ® \ m 2 x. in) k & � § ri iflr § m z►I vRlpt Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT Z i5 °0 I. Blue pile PERMIT NO. /S 2.Gold City 9 � 3.Yellow Applicant (Please type or print and sign at bottom) r ADDRESS ZONING(office use) J-44V14, a x'41. LEGAL DESCRIPTION(office use only) LOT BLOCK ADDITION PID OWNER (Name) peAnyv,, (Phone) (Address) APPLIC ,(Name)ANT 1 C�� l J, _ �� o1''� sci (Phone) ((1)2-44 (Address) 5// 064k A-1)714 (Address) (City) (Zip Code) (Contact Person) /3(7! �7e/M'Q (Phone) APPLICANT SIGNATURE , DATE APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater Floor Drain 1 Water Softener 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 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# The lvlinnesota statutes 3Z613.1413 " PLUMBING PERMIT FEE $ U RCIIARGE� has been extended STATE SURCHARGE $ The m.iniinuln surcharge har€;e for a TOTAL PERMIT FEE $ fit/ U "fixed fee"permit is $5e00 (Office Use Only) ^ This Application Becomes Your Building Permit When Approved Pai / Re ' t No. Buildine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372