HomeMy WebLinkAboutPlumbing 99-0093
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11/18/97 TUE 12:05 FAX 6124474245
CITY OF PRIOR L.\KE
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CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: h4---z7,'r;y t:;,;I'l5o/~t:U7~5.. .z/?~ Phone: ~o~;::'~-Y;7..27
Address: //7.# / tV~.5 t: /?7~/.~ 5c AJf!!' 4.J ~ ~ "'"'<'" _ ~.-z/.:5 z:.e>~
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Signature: ~ a-~ ~~_:-..:.- ~._
Legal ~6riPtian: Lot -.b BIOCkDudo f It Sub 0fCUIA 11. 'Odd HkL.f(
Site Addrass:__t"~b'::-_H.a...,,~_~,?-o_~_~~.~~~ <- /P' ~
Building Permit # .- PID # ~5;- /l-? ll- m tj.-{)
NOTE: This permit will not be processed without complete information.
I. Blu"
2. Gold
3. YellDw
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City
Applicant
#
t:l1a 99 -CJO 9.3
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
/
I
8ath 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)
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
/
FEE SCHEDULE
F/rua1ul WI C;q- 336
Industrial, Commercial & Multi-Family
(1% ofjob cost, $39.50 minimum)
Residential, New One & Two Family
c: Residential,.Addi~ions & Alterations
1 State Surcharge
$99.50
$39.50
$
$
$ 3j9,..5'U
$ .50
GRAND TOTAL
$76:
a:J
This permit is granted upon the express condition that said
comractor. shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
[3 ~lf)'J-. RECEIPT NO. ;)jj(}jt(2. _ DA'IE
111 A'ITEST
~all for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, ~in~~sota 5.5?7~ / ~h. (612) 447-4230 I FAX (612) 447-4245
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