HomeMy WebLinkAboutPlumbing Permit #07-0430
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File
2. Gold City
3. Ye\low Applicant
I PERMIT NO'07 04-3lJ1
ZONING (office use)
lla~coU) 1rall 0 b
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone) ll]/UtlS-lQ?J11J
(Address)
(Contact Person)
o (Phone) llt7?J.11J(P. ~
(I VJ1J7
(City) (Zip Code)
(Phone) f151LJ1JlfJ.~roL/
DATE Y)'~~'D7
(Address)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher I Water Heater
Floor Drain Water Softner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 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 I % of job cost with a $39.50 minimum
Residential. New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
~w . if'{)
Building Permit #
1)t1.t1l?
.50
40 IrQ
"
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
Date
Paid ~. (/2)
Date t,. I. c/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
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