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HomeMy WebLinkAboutPlumbing 99-0540 CITY OF PRIOR LAKE PLUMBING PERMIT PPNo. QQ-54-0 Applicant:~4,c-/~y (]~75c.,/C:-C2hC.5~Z-/7c:::... Phone: ?/-?-7_5;Y- y~ Address: .//7 ;;{/ 41~j /'7, ~ <:/.:e 0 r~ v <2_ ~"...z./ s-c:;c.':;;P 7 . _. Signature: ~~~~L ~ Legal cription: Lot 2. Sub B/I2.()ot::.5vll.J.....€: C1R Z-ND SiteAddress:/~Yoo /JC//v~h #~€/ Building Permit # qq - q 7 PID # 25-/77- ooi.f--I NOTE: This permit will not be processed without complete information. 1. Blue 2. Gold 3. Yellow File City Applicant The Crnl.r of Ihe L.ke Coun.ry Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Dishwasher Water Heater .::z Floor Drain Water Softner Lavatory (bathroom sink) Stand Pipe (washing machine) Laundry Tray (lor 2 compartment sink) Sewage Ejector Shower Stall Backflow Assembly (RPZ, Double Check, PVB) Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler Water Closet (toilet) / Other //-o-/c C ,..~ "// FIXTURE UNITS $ 12,000.00 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 / - ~/<2~~<'G,6./e Cv~ 5 c-e- I ~ re/7 CZ:;:-u n.A -00 /~~or<<<-je, -r /J d//e C cd/"&" /? . /~~ $ 100 ~1 t20.00 $ $ $ .50 FEE SCHEDULE GRAND TOTAL $ ICb.S-O This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Co e and the amendmfnts thereof. 35/72- R . 5//31"f9 DATE , ,.. A lTEST Call for all' 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