HomeMy WebLinkAboutPlumbing 99-0908
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CITY OF PRIOR LAKE
PLUMB/~/PERMIT
Applicant: %~ / /JA.1 /ltJI-:IuL Phone: SS/ OSSS-
Address: ~p ('~ ^~ lFi'-c flj,,~ ,)'-)St4'/
Signature: ~ -~ '
Legal Description: ~ Zq Block Sub: ~N6VhCXJN,4 eGr1CH
Site Address: /6 S'7~ fN6~CA/A .8e~ Cw2c../wL l?/sO
Building Permit # CJC;-9ol3 PID# 2!S:.::.t85-0Z7-Q
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
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)
. REQUEST FOR INSPECTION
Rough-ins . SENT TO HOMEOWNER 1/03.
Water Heater NO RESPONSE. CLOSE FILE
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Minimum Fee
Unit
Amount
1. Blue
2. Gold
3. Yellow
File
City
Applicant
t/
#
QCJ-90!!J
Total
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
$ 6.00
_ $ 6.00
6.00
6.00
...B.OQ-
.p 6.00
$ 6.00
$ 6.00
$25.00
$10.00
$25.00
$ 6.00
$25.00
SURCHARGE .50
GRANDTOTAL$ ~_J!.t:J
39.S()
This permit is granted upon the express condition that said
contractor, shall CO._IY . . all respects with the ordinances
of the State Plumbing endments thereof.
3S~~ . 7P.7h4' DATE
/ . ^---_' Allr.::>l
Call for ,;. i~spections 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER