HomeMy WebLinkAboutPlumbing 99-745
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo.
APPlicant:~;t./,uy Ge2<L_ ,(C4..~6fI..J("-Phone: "/2 L/70- f5'/-22..
Address: 2S7 v...) i g S'r tu~c..oA/01~ ft1~ ~38'7
Signature: ?---..: rf'~
Legal Description: Lot (/ '- Block Sub
Site Address: LA~el--~,u'(- /~K /7! VIL,C1,.J
Building Permit # qeJ - ? .? ~ PID #.25- CitJZ - 0 t'J 1- 0
NOTE: This permit will not be processed without complete information.
Tho Conlor of tho Lake Country
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
s-
5-
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)
.,
J/
I
3
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
L Blue
2. Gold
3. Yellow
File
City
Applicant
qtl-7~
Type of Fixture
Rough-ins
Water Heater (/"u STI'1N-r )
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other ul!../VA-L-
00
ZOO -
$
$
$
$ .50
,~"1~- "--- ...........~
$ 20.0.~ ._-~\\
\ \
\ '
Thf, pennft i, ."nred npon th, "p'''' ",ndition ,hot ,,;l ~,
contractor, shall comply in all respects with the ordinances \ \ .
of the State PIO,"b. ~'I'd,"'n~ 'b,=f. \~ ,') \
"3!5C:;l4- RE . fol1&/QCJ DATE \j-' i
, /
_ ATTEST /
r- ,../
Call for all in~ections 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