HomeMy WebLinkAboutPlumbing 99-570
CITY OF PRIOR LAKE
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Applicant: /' I ~ ~ f' ~
Address: q 15)- ~ y~ ~
Signature: ~~ ~
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Legal Description: Lot 3 Block 2. Sub NOR:TH .:5rlaR..E; art I<S
Site Address: 14/t/-v AsA C;fZu..-e R/SD 3Je.o ,c10DN,
Building Permit # PID # .2.5 - 0 7 "" ~ 0 ()8- 0
NOTE: This permit will not be processed without complete information.
Th. Crn.er of Ih. Like Counlry
Quantity
I. Blue File V.
2. Gold City
3. Yellow Applicant
PPNo. c;tJ-S70
Phone: # ~ c/ - S-q' cp_~_
FIXTURE UNITS
Type of Fixture
Bath Tub with or without shower
Type of Fixture
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 corr
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Quantity
I
Rough-ins
Water Heater
Water Softner
REQUEST FOR INSPECTION
SENT TO HOMEOWNER 1/03.
NO RESPONSE. CLOSE FILE
Stand Pipe (washing machine)
lNage Ejector
:kflow Assembly (RPZ, Double Check, PVB)
ckflow Assembly Test
INn Sprinkler
Other
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
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/-.;l.Q.. - 03
$
$
$.5r~sV
$ ,50
$99.50
$39.50
GRAND TOTAL
~~
. -
DATE
ATTEST
I for all inspections 24 hours in advance.
Lake, Minnesota 553721 Ph, (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer