HomeMy WebLinkAboutPlumbing Permit 99-0055
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ^/Ol? ~LO/Y) PI.-Um8JNtq Phone:
Address: 290.5 GarA~ Jd Ave.J1~ cSO.
Signature: 9i6' AJ PlUV7--
Legal Descripti~: ltot ~. Block ~
Site Address: /4h51- ~/l/le.bJvd Tf'Cl-J!
Building Permit # PID # 'LS- ~ \O-OL~-)- ~
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File /'
City
Applicant
Th. C.nt.. of tho Lok. Country
# '11-0055
327- 40,,'B
t11~/s. S<\W>X"
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SUb_~O~
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
t
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
CLOSED DUE TO
INACTIVITY 1/1/03
Industrial, Commercial & Multi-Fa
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
'I>
$99.50
$39.50
$
$ .3f\'{l
$ .50
GRAND TOTAL
$ !i01[)
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amdtdment/thereof.
~4-3~ RECEIPTNq. -L/-?),~DATE
ILC' {-;-" '( . ( A TIEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer