HomeMy WebLinkAboutPlumbing Permit 99-181
CITY OF PRIOR LAKE
PLUMBING PERMIT #
Applicant: 151~ ~(e .JfrJ/1t tJ phone: AJ;}- J3j/-~~;;
Address: .5;)-1/ d {j~__ ftv-i tJ/. iiW~, mil. sryjr
Signature: f(~~~-
Legal Description: Lot _ '30 Block 2. Sutl! /ll_111 I ^-;eJ: c .~-f{~
Site Address: :J If III ~ ath 0ai1 {;:;L
Building Permit # (t'q' -(~I PID # as - 35J- - 00 (- D
NOTE: This permit will not be processed without complete information.
V::ue File
2. Gold City
3, Yellow Applicant
Cri-~(
The Center of the Like Counlry
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
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
I Other (I.~vevJ~ (J..{' lH~.J';S
CLOSED DUE TO
INACTIVITY 1/1/03
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
FEE SCHEDULE
Industrial, Commercial & Multi
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
~1 Ag
$ -3lt_~
$ .50
GRAND TOTAL
$oto.ui)
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 amen~ts thereof.
"b41Y1 RECEIPTNO~.~!\ DATE
r} ATIEST
Call for all inspections 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