HomeMy WebLinkAboutPlumbing Permit #07-0023
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Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
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~. ~~~ ~:;y I PERMIT NO. 01, 00231
3 Yellow Applicant . _.
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
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BLOCK
ADDITION
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(Name) fX) C\..
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(Phone) Cf5~ - L-/Q,2., -.L:)CJb /
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(Phone) ~\3V5-f3dO
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(Zip Code)
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(Address)
<\PPLICANT SIGNATURE
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 ( 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 $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3ti.0o
.50
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(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
Receipt No. 52,8 2.
By
Paid
Building Official
Date
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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