HomeMy WebLinkAboutPlumbing 99-1033
Th. C.ntor of tho Lak. Country
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File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~/YB () ~ -' v S{'}.4/
Address: (;(oC- ~~~j~
Signature: '?1 r )
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Legal Description: J;.g,t I Block / Sub IIII...-I...S 8U,e y
Site Address: 5 J- 39 /~t) --rH sr I/A//T i'H/f ~4-
Building Permit # q q ~ Ji'Aii <: C:J?:- PID # 2.5 -.3 5 7 - 00 I - D
NOTE: This permit will not be processed without complete information.
PP No. '1']-1 () "3-S
Phone: lie I ~ 7-Jt!3
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FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
1
Rough-ins
Water Heater
Floor Drain
Water Softner
Stand Pipe (washing machine)
S~ Ejector
I }~1dIai Assembly (RPZ, Double Check, PVB)
~ckflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
I
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I
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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FEE SCHEDULE
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
$
$
$ ~ ,5'D
$ .50
GRAND TOTAL
$ 40.00
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.
"<' (oO()?" n ~CEIPT NO. e -fe;...,.~ DATE
4::./7 A TrEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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