HomeMy WebLinkAboutPlumbing Permit 99-1395
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:~;::E!> ,pJ.~."J.f7V-
Address: ~tlr: RlJIVtJpt~1-I .th-t
Signature: -N-J'/ ~-
Legal Description: L~ 5 Block / Sub AI SHOt:!..6 OItK....S
Site Address: ~O b ~~Lew-a'L> /Lv /2.--1
Building Permit # qq - /395 PID # ?r-:;-340 -005-0.
NOTE: This permit will not be processed without complete information.
I. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo.
qq-/3q\~
Tht Ctnlt, or lht Lib Counlry
Phone:
..sf'" t:J:Ht?/ MA/ ';;)/02.. - '-bJS;
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
I
Bath Tub with or without shower
~
Rough-ins
Water Heater
Dishwasher
/
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
~
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
lkler ,J
FEE SCHEDULE
VE1'O
CLOSED D 'l 8/30/0)..
lNAC1'lYl1'
/
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$ 3Cf.5D
$
$
$ .50
GRAND TOTAL
$ 4O.(J()
This permit is granted upon the express condition that said
contractor, shall com in all respects with the ordinances
of the State Plumbi e the aiAme d~nts thereof.
3(,,~ o.l_jo/q DATE
,
A ITEST
Call for all i spections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer