HomeMy WebLinkAboutPlumbing Permit #99-969
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Mr<Al.L),r/1 htlJft/JI;;>>6
Address: .....z- '1 CJ .r:.., 6 Jt;t!-FI GLr [') A;A=:
Signature: ~/I/'1~
Legal DescriPt{oRLLot Block Sub ,A1t I t:...5 A7IIO 8dl.l/\/OS_
Site Address: l-l3()4./ Ru. ft1e.Y',S.s~ NIF' ~/.sO
Building Permit # q9 - ,~ ~ PID # 2.5-9.30 - 074f- 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th.. C"nl" o.l.hr Lak. Co"nt".
Q,uan~lty
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
/
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
I
I
I
I
I
I I
CLOSED DUE TO
INACTIVITY 1/1/03
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment 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
GRAND TOTAL
I. BIIIO
2. Gold
3. Yellow
/
FUo
City
AppliCllllI
't'PNo. 99- 9'9
Phone: R 2:7 -';1033
~ ~P?S 5s4oe
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
$ Jj()~CO
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer