HomeMy WebLinkAboutPlumbing 99-0048
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PLUMBING PERMIT
Applicant: 5A ) 'Z:.. t" pi \l-M b~,.I....
Address: b~ '1-q ~..,.. -.; <..-4- N"
Signature: ~~ ~
Legal Description: Lot q, ' Block' Sub .J 1\:tnE,<; I <r MD.
Site Address: J 40 ,a c.~('W\ 1"1 Q. rr- p ~.J't
Building Permit # 'ilf- ,~ P'~,~3'" ~t ~rDl-~
NOTE: This permit will not be processed without complete i10{mation,
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FIXTURE UNITS I
1. Blue
2. Gold
3. Ye1low
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File
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Applic:aJll
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PP No. tfq.... 004Fj
Phone:.-t.I;)' tJ lJ 7 ~o r S-
Pr;" L~J(4 ~'J 3" - '/73/_
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Quantity , Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower 6 Rough-ins
!J Dishwasher , Water Heater
L/ Floor Drain , Water Softner ~
a Lavatory (bathroom sink) ~ Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) ~ '" Sewage Ejector
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Shower Stall \, C!J Backflow Assembly (RPZ, Double Check, PVB)
if Sinks I i' Backflow Assembly Test
IQf Bar Sink I Lawn Sprinkler
~'-- ..... ,<-;;:) Water Closet (toilet) Other
FEE SCHEDULE
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Industrial, Commercial & Multi-Family
(1 % of job Co~!, $39.50 mJnimum)
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$ (..no
$
$
$ .50
State Surcharge
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GRAND TOTAL
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$ r);,GU
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83. -)0
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This permit is granted upon the express condition that said
contractor, shall comply in all respects with the .ordinances
of the State Plumbing Code and the amendments thereof.
?I./)S~ JR EIPTNO. /-22-9" DATE
!J{ fJ d:,,, , ' A ITEST
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Call for all inspections 24 hours in advance.
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16200 Eagle CreekAv. S.E. ~tiorLake. MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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