HomeMy WebLinkAboutPlumbing 99-1087
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: SJ+(1<5A+t 1.1 JA-fey ~
Address: ? 3/C, - (GG f13 i1-ve,v&l)
Signature: /;0 f:\t?nL.
Legal Descripti~n~ L';;t c;;r- II Block 3 Sub MIlP/A/,rIf-t- .t2.-!06-B Is-/
Site Address: \.~?~- {l:xJ2r)lIA-C-(2r'7fJc.e Tcrl puD
Building Permit # Q9-/0!37 ' PID# 25-2-99-042- 0
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicaat
v
Th. C.nl.r o( lh. Like Counlry
PPNo. qq-IOB7
Phone:~ f;> , ~~ <;'2 'fY
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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
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
(1 % of job cost, $39.50 miniml ,
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$ 39.5V
$
$
$ .50
GRAND TOTAL
$ L./O.OO
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State PI~mbing the amh~s thereof.
3005g . ~ z, r DATE
ATTEST
Call for al . spections 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