HomeMy WebLinkAboutPlumbing Permit 99-230
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1. Blue File V'
CITY OF PRIOR LAKE ;: ~~:~w ~:licant
PLUMBING PERMIT # qq - 81)
APPlicant---f!.:ftt1- t'~/ -e.... _t!J,,~~~ Phone: ?-tf'f - /1 () if
A~dress: '"""3 ( ? '1 ~ I'.~-/ ,;4ve-. do-
SIgnature: ~ y ~ A
Legal Description: Lot 13 ,V BI~k;;l , Sub ~l Hlll 7 fL1 Mdt\...
Site Address: J L.J 114 t/4. r- J>U^ J rr (/"8/ / .Ai. E. '-t1~ - 4:)J7
Building Permit # C(C( - z..~') PID # ;;;>5 -~l(3 - ()'M -0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Tht Ctnlt, of Iht Lakt Counlry
Quantity
Type of Fixture
Quantity
Type of Fixture
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
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Bath Tub with or without shower
FEE SCHEDULE
CLOSED DUE TO
INACTIVITY 1/1/03
Industrial, Commercial & ML
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$~~.::n
$ .50
GRAND TOTAL
$ 40 L''o
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 amevdments ~reof.
~Ltr2 ~ RECEIPT NO. _61.1.- q 1 '1'1 DATE
( . ,/(I U A TIEST
Call for all inspections 24 h6~rs in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer