HomeMy WebLinkAboutPlumbing Permit 95-0010 C I TY O F P R I O R LA K E 3�;� Applicant
PLUMB/NG PERM/T # 9.� � od
O � pRlp� Applicant: 1��1�'0 77� AL f� , Phone:_ �J L� (� (9 L ��'��
�, Address: �J 6 6 l� � �.r r.�� — G.� � I-kr✓ � 1� 1✓.
� � Signature:
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V � Legal Description: Lo � Block / Sub: - �.
Site Address: / U
Building Permit # -----� PID #� -- ,� d� D 43 - 0
���'NESO�� NOTE: This permit will not be processed without compiete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
Floor Drain $ 6.00
j Lavatory (bathroom sink) $ 6.00
Laundry Tray (1 or 2 compartment sink) $ 6.00
� Shower Stall � c ^^
sinks: CLOSED DUE TO
Bar sink INACTIVITY 8/30/O 1
Water Closet (toilet)
Rough-ins $ 6.00
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflaw Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00
SURCHARGE .50
GRAND TOTAL $ ,L,r.tiS`O
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.
� � RECEIPT NO. aZS� � DATE
' , ATTEST
Call for all ins ions 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNTTY EMPLOYER