HomeMy WebLinkAboutPlumbing Permit 99-1404
/
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: (.0
Address: {Cf- /I/,rn Jtu.e ;;....L()
Signature: [,,0 r J,[)~
Legal Description: Lot Y (b Block /
Site Address: J:;?\2/1 MPI1I chs1 TFI -
Building Permit # 4''1-/404-- _PID# 25-3'-12.-06(;-0
NOTE: This permit will not be processed without complete information.
1. Blue File
2. Gold City
3. Yellow Applicant
# 9t( '" /404-
Phone:0,2-?53 92-fjc
Th. C.nl.r of Ih. L1k. Counlry
Sub ,er,SP. lei ()t:,6 ~
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)
J
L
Rough-ins
Water Heater
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-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$ .50
$ 40. a 0
.
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall com Iy; i I ects with the ordinances
of the State Plumbi eame9dV9~~/hereof.
.3(, S"7/ . /2-19 DATE
A ITEST
I
Call for all i
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer