HomeMy WebLinkAboutPlumbing Permit 99-678
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: $j+tL.(')A-tt ~ CD ~c-
Address: 7,'<,i.3- tCdb ~ /.hJ.e AXi)
Signature: c!;.Q.o ')rt:):J~ .
Legal Description: L~t - 2.-.C7 Block I Sub III. Sl-/ol!.~ Ofl/C.f 7TH
Site Address: 53& 4 AM t3t-bWotJ.D ,e /$0
Building Permit # 19 ~(p -, e PID # Z5 - 3'10 - 0 6 L-O
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
v
PPNo. 99- b713
Phone: & r 2- 753 -92'-!y
Thr Crnl.. of Ihr Lib Counlry
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
I
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
-
FEE SCHEDULE
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
$
$
$
$
.50
GRAND TOTAL
$~.OO
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 ame m nts thereof.
3S3Q'-! ~IIJ. (, S DATE
/~ . ATTEST
Call for all inspections 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