HomeMy WebLinkAboutPlumbing 99-1034
The Cenler of the Like Country
CITY OF PRIOR LAKE ~: ~~L ~~~licant
PLUMBING PERMIT PPNo.11-lo3cf
Applicant: ~ 1:r.CJ--ltJ-LW 5"0..u )"'lUkl Phone: l/ C /7 '711 q
Address: <,.,. f:. ~ '(;05"- tv f2 b If:l--< I- 4tiJ ,//-tL-
Signature: r7C, ~J
Legal Descripti~ Lot'/ Block / Sub /-J ILL,S B U R'I
Site Address: h-- d. tf,f j (<;, ) T S'T. II AI /1 ile, II I!A-
Building Permit # qq-I.. C)S- PID# 2S-357-00I'-()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
{ Bath Tub with or without shower
I Dishwasher
I Floor Drain
~ Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
/ Shower Stall
1 Sinks
Bar Sink
Rough-ins
FEE SCHEDULE
Water Heater
A
walEsoftner
Sta . e (washing machine)
.J.... t1 e Ejector
lJ:~kflOW Assembly (RPZ, Double Check, PVB)
J Backflow Assembly Test
,OC Lawn Sprinkler
0\"' Other
~\
/
t
\
I Water Closet (toilet)
I
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
$
$
$ 31.~--o
$ .50
GRAND TOTAL
$ C/O:OO
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,
~"O ""2,~RECEIPTNO, P3 -ltj-tt7 DATE
Pis 'ATTEST
V ,.~
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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