HomeMy WebLinkAboutPlumbing 99-1036
Th. C.nter of Ih. Lak. Country
Quantity
1
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1
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1. Blue
2, Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. 7/--IO~rl>
Applicant: -{J f(/30 ~ A fi / fl-iW/ Phone: t.;t; f I- 'l vcr,
A~dress: ~-c6C CW ~(1 ~5'1'A!-/- -41 !-,,4,Lt~/ 1'~
Signature: ~_ "'1v:/:-J
/ - /v-.Y
Legal Description: Lot I Block / Subfl/I J_SiSUiCV
Site Address:5;l ~ / Co /7.:1-.s-r. () /1/ IT If 6 '1 t!4-
Building Permit # ~-~ c.~ PID#2.5'-.3S7- Q()/-O
NOTE: This permit will not be processed without complete information.
Type of Fixture
FIXTURE UNITS
Quantity
Bath 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)
I
-:l.
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
..
Rough-ins
1 "ater H8tter
ter so~\;
tand~~hing machine)
se{ag~ctor
.B~w Assembly (RPZ, Double Check, PVB)
~w Assembly Test
Lawn Sprinkler
Other
$99.50
$39.50
$
$
$ SJ. ~-
$ .50
GRAND TOTAL
$ Cfo.od'
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.
7u. ~ '-- RECEIPT NO. e,/ r-q 5' DATE
- P fi - ;TTEST
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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