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
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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
$39.50
/ - ~/<2~~<'G,6./e Cv~ 5 c-e-
I ~ re/7 CZ:;:-u n.A -00 /~~or<<<-je,
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$ 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