HomeMy WebLinkAboutPlumbing Permit 99-1043
CITY OF )RIO =I LAKE
PLUMBING PERMIT PPNo. 99.. /0'1-3
Applicant: ~f!..8LrUf/1 PL-tl/fl/I'7J>>6 Phone: R 2.7 -"/033
Address: +?rl\~ 6111e..F16(""{') A-tk:. c--:'::>.: I1PLS./ 55i.f.Oe
Signature:,-W~ MORRIS, T.
Legal Description: Lot 2- 15219 FAIRBANKS TRAIL NE Ib .:!:t51E~f:2f1 Z.s
. PRIOR LAKE, MN 55372
Site Address: (612) 440-5816
Building Permit # 99- /0 43 pro # :2. 5 - 03" - 0 0"2.. - c:::>
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
I. Blua
2. Gold
3. Yellow
Fila
Ciry
Applicant
~
i/
, Tbo Con.., nr lbo Lab Cnun'f7
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)
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
C1ther
FEE SCHEDULE
CLOSED DUE TO
INACTIVITY 1/1/03
Industrial, Commercial & Multi-I QIIIIIY .
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$ .50
$ I-j() ~ OJ
.
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply (n all respects with the ordinances
of the State Plum~ing d ~e amendmejlts thereof.
3~OI2-. :sjZC;/91 DATE
ATTEST
Call for all i spections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer