HomeMy WebLinkAboutPlg Permit 01-0968
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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ADDRESS 0 l tit (j UJaxt 0UtK ~ I
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
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(Address) 'h I ~ U lAJcod'" 0llCX.,. W,
APPLICANT ~ rI "'^ I I I J Y
(Name) ~trl;(AOYI II\Wl
(Address) nO 1uiwJl rycttn
(Address)
(Contact Person) ~l G\ r'1WAtV
APPLICANT SIGNATURE ,~
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1. Blue File I PERMIT NO
2. Gold City . h '- /)/J J a
3. Vellow Applicant V.I' vt.f!:!ll
ZONING (ofliceuse)
PUD
PID ZS -337- O/Z-Q.
(Phone) ~ -440-e;l?~
(Phone) C1 ~-- Lt?fi 0/ IJrIJn
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(City) (Zip Code)
(Phone) UL (Pt(f,~
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APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 comparbnent sink
Shower Stall
Sinks
Bar Sink
Water CloSet (Toilet)
Quantity
I4l!.l!. S\...I1l!.DULE
Industrial, Commercial & Multi-family I % of job cosr\vith a $39.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Offtet Ute Only)
Tbis Application Becomes Your Building Permit Wben Approved
Type of Fixture
,
Rough-ins
Water Heater
Water Softner
Stand Pin.. Il" - . .
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INSPECTION
REQUEST FORTRACTOR. NO
SENT TO CEONCLOSE FILE
RESPONS -
Residential, New One & Two-Family $99.S0
Residential, Additions & Alterations $39.S0
Building Permit #
$ -3q 50
$ .50
$ -H).OO
Paid 40 ~r/V
Da~_J'd I
f
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
BuDdlnl 0ftIda1
Date
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