HomeMy WebLinkAboutPlumbing 99-0105
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: f\J rl b \~ "t>\ \.A.NV\.~~
Address: 2705 f;cur./.-;.pjrJ Ave. Sol..!
Signature: \J. / -I ~
Legal oescriptloK: Lot :2 Block Sub~"uI /1;; u..f-e ZtAd kthI.
Site Address: }J-jJ It) 1+6 PEN A:v6. N. L,
Building Permit # qq ~le6' PIO # f(5"-;}.05"-D /6 -0
NOTE: This permit will not be processed without complete information.
I. Blue File
2. Gold City
3. Yellow Applicant
PPNo. qq -oloS-
Phone:~27- L-Jd3:5
(/~
n. Ctnlft 01 tile Lake Coonlry
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
y
Rough-ins
Water Heater ,f' ( -, - "t
~ e. -, ~t.~
Water Softner
Stand Pipe (washing maChine)
Sewage Ejector
Backtlow Assembly (RPZ. Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Bar Sink REQUEST FOR INSPECTION
Water Closet (toile SENT TO HOMEOWNER 1/03.
NO RESPONSE. CLOSE FILE
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
$
$
$ 3~ c (b
$ .50
$ '-/CJ . C/O
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply rn all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
3Liill RECEIPT NO. :;J-/7-Cf ATE
914.Jj. ~ ~ ~#J ~T
Call for all in~ .
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer